| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $449.48 | $449.48 | $449.48 | |
Aetna
| Professional | $209.50 | $329.94 | $449.48 | |
BCBS
| Professional | $600.69 | $600.69 | $600.69 | |
Cigna
| Facility | $299.44 | $299.44 | $299.44 | |
Cigna
| Professional | $299.44 | $299.44 | $658.59 | |
Medica
| Facility | $209.50 | $420.79 | $2,147.32 | |
Medica
| Professional | $156.85 | $250.57 | $500.62 | |
United
| Professional | $165.92 | $248.87 | $522.54 |