| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $549.54 | $549.54 | $549.54 | |
Aetna
| Professional | $204.17 | $363.08 | $512.86 | |
BCBS
| Professional | $616.60 | $616.60 | $616.60 | |
Cigna
| Facility | $281.84 | $281.84 | $281.84 | |
Cigna
| Professional | $47.86 | $281.84 | $891.25 | |
Medica
| Facility | $204.17 | $380.19 | $3,311.31 | |
Medica
| Professional | $204.17 | $316.23 | $537.03 | |
United
| Facility | $31.62 | $234.42 | $467.74 | |
United
| Professional | $204.17 | $331.13 | $524.81 |