| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $315.89 | $315.89 | $315.89 | |
Aetna
| Professional | $298.42 | $298.42 | $315.89 | |
BCBS
| Professional | $405.99 | $480.02 | $491.96 | |
Cigna
| Professional | $498.00 | $502.98 | $632.46 | |
Medica
| Facility | $200.39 | $315.89 | $2,000.04 | |
Medica
| Professional | $172.98 | $212.51 | $345.96 | |
United
| Professional | $149.88 | $191.41 | $345.96 |