| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $434.93 | $434.93 | $434.93 | |
Aetna
| Professional | $418.82 | $434.93 | $482.36 | |
BCBS
| Professional | $805.42 | $805.42 | $924.59 | |
Cigna
| Facility | $758.68 | $758.68 | $758.68 | |
Cigna
| Professional | $553.84 | $758.68 | $758.68 | |
Medica
| Facility | $249.06 | $456.68 | $3,377.04 | |
Medica
| Professional | $367.59 | $594.47 | $1,070.58 | |
United
| Professional | $389.26 | $583.95 | $865.02 |