| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $325.94 | $325.94 | $325.94 | |
Aetna
| Professional | $270.62 | $270.62 | $325.94 | |
BCBS
| Professional | $403.80 | $472.53 | $480.70 | |
Cigna
| Professional | $492.00 | $496.92 | $624.84 | |
Medica
| Facility | $270.62 | $435.75 | $1,990.31 | |
Medica
| Professional | $186.25 | $303.95 | $455.93 | |
United
| Professional | $143.97 | $303.95 | $560.04 |