| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $263.36 | $263.36 | $263.36 | |
Aetna
| Professional | $185.87 | $185.87 | $263.36 | |
BCBS
| Professional | $338.45 | $400.17 | $410.13 | |
Cigna
| Professional | $388.88 | $392.76 | $493.87 | |
Medica
| Facility | $143.62 | $263.36 | $1,611.98 | |
Medica
| Professional | $134.41 | $180.13 | $335.53 | |
United
| Facility | $153.02 | $153.02 | $153.02 | |
United
| Professional | $120.89 | $180.13 | $335.53 |