| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $348.39 | $348.39 | $348.39 | |
Aetna
| Professional | $222.29 | $228.26 | $348.39 | |
BCBS
| Professional | $568.26 | $568.26 | $568.26 | |
Cigna
| Facility | $382.03 | $382.03 | $382.03 | |
Cigna
| Professional | $278.88 | $382.03 | $532.50 | |
Medica
| Facility | $120.22 | $328.37 | $1,660.98 | |
Medica
| Professional | $171.75 | $278.58 | $640.72 | |
United
| Professional | $181.88 | $278.58 | $429.38 |