| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $468.77 | $468.77 | $468.77 | |
Aetna
| Professional | $172.87 | $307.13 | $468.77 | |
BCBS
| Professional | $619.61 | $619.61 | $619.61 | |
Cigna
| Facility | $380.61 | $380.61 | $380.61 | |
Cigna
| Professional | $277.85 | $277.85 | $873.28 | |
Medica
| Facility | $172.87 | $456.22 | $2,801.35 | |
Medica
| Professional | $178.52 | $282.42 | $723.21 | |
United
| Professional | $178.52 | $282.42 | $378.25 |