| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $268.45 | $268.45 | $395.67 | |
Aetna
| Professional | $102.00 | $268.45 | $303.00 | |
BCBS
| Professional | $497.14 | $497.14 | $497.14 | |
Cigna
| Facility | $315.25 | $315.25 | $315.25 | |
Cigna
| Professional | $230.13 | $315.25 | $315.25 | |
Medica
| Facility | $162.49 | $340.99 | $2,629.88 | |
Medica
| Professional | $167.80 | $270.62 | $561.54 | |
United
| Professional | $167.80 | $251.69 | $361.08 |