| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $508.79 | $508.79 | $508.79 | |
Aetna
| Professional | $219.85 | $373.48 | $508.79 | |
BCBS
| Professional | $653.65 | $653.65 | $653.65 | |
Cigna
| Facility | $354.55 | $354.55 | $354.55 | |
Cigna
| Professional | $354.55 | $354.55 | $772.03 | |
Medica
| Facility | $219.85 | $476.32 | $2,544.80 | |
Medica
| Professional | $181.58 | $288.62 | $547.70 | |
United
| Professional | $181.58 | $281.64 | $512.98 |