| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $278.88 | $278.88 | $278.88 | |
Aetna
| Professional | $231.64 | $231.64 | $278.88 | |
BCBS
| Professional | $366.09 | $428.41 | $435.81 | |
Cigna
| Professional | $445.88 | $450.33 | $566.26 | |
Medica
| Facility | $231.64 | $321.95 | $1,807.28 | |
Medica
| Professional | $159.36 | $231.56 | $347.34 | |
United
| Professional | $127.49 | $231.56 | $347.34 |