| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $358.49 | $358.49 | $358.49 | |
Aetna
| Professional | $345.21 | $358.49 | $615.59 | |
BCBS
| Professional | $663.87 | $663.87 | $663.87 | |
Cigna
| Facility | $636.97 | $636.97 | $712.60 | |
Cigna
| Professional | $464.99 | $636.97 | $712.60 | |
Medica
| Facility | $358.49 | $425.96 | $3,153.85 | |
Medica
| Professional | $321.20 | $519.57 | $952.55 | |
United
| Professional | $321.20 | $500.17 | $769.49 |