| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $291.22 | $291.22 | $291.22 | |
Aetna
| Professional | $241.75 | $241.75 | $291.22 | |
BCBS
| Professional | $353.60 | $413.79 | $420.94 | |
Cigna
| Professional | $430.88 | $435.18 | $547.21 | |
Medica
| Facility | $241.75 | $407.07 | $1,749.66 | |
Medica
| Professional | $166.41 | $275.51 | $413.27 | |
United
| Professional | $124.77 | $275.51 | $417.97 |