| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $287.22 | $287.22 | $287.22 | |
Aetna
| Professional | $238.48 | $238.48 | $287.22 | |
BCBS
| Professional | $357.98 | $418.92 | $426.16 | |
Cigna
| Professional | $436.13 | $440.49 | $553.88 | |
Medica
| Facility | $238.48 | $378.66 | $1,744.00 | |
Medica
| Professional | $164.13 | $264.89 | $397.34 | |
United
| Professional | $123.63 | $264.89 | $397.34 |