| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $685.33 | $685.33 | $685.33 | |
Aetna
| Professional | $331.79 | $503.06 | $685.33 | |
BCBS
| Professional | $723.95 | $723.95 | $723.95 | |
Cigna
| Facility | $647.96 | $647.96 | $647.96 | |
Cigna
| Professional | $550.77 | $647.96 | $1,111.88 | |
Medica
| Facility | $511.71 | $632.41 | $3,751.53 | |
Medica
| Professional | $252.78 | $379.17 | $603.26 | |
United
| Professional | $252.78 | $379.17 | $603.26 |