| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $571.03 | $571.03 | $571.03 | |
Aetna
| Professional | $199.39 | $374.13 | $571.03 | |
BCBS
| Professional | $754.79 | $754.79 | $754.79 | |
Cigna
| Facility | $386.84 | $386.84 | $386.84 | |
Cigna
| Professional | $282.39 | $386.83 | $1,004.06 | |
Medica
| Facility | $199.39 | $555.76 | $3,239.07 | |
Medica
| Professional | $205.90 | $344.03 | $880.99 | |
United
| Professional | $205.90 | $332.56 | $460.76 |