| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $351.25 | $351.25 | $351.25 | |
Aetna
| Professional | $291.76 | $291.76 | $351.25 | |
BCBS
| Professional | $461.80 | $540.41 | $549.75 | |
Cigna
| Professional | $562.50 | $568.13 | $714.38 | |
Medica
| Facility | $291.76 | $403.74 | $2,149.42 | |
Medica
| Professional | $200.72 | $279.33 | $419.01 | |
United
| Professional | $148.74 | $279.33 | $419.01 |