| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $294.81 | $294.81 | $294.81 | |
Aetna
| Professional | $294.81 | $312.42 | $312.42 | |
BCBS
| Professional | $378.88 | $447.97 | $459.11 | |
Cigna
| Professional | $521.25 | $526.46 | $661.99 | |
Medica
| Facility | $200.93 | $312.42 | $2,141.94 | |
Medica
| Professional | $161.43 | $202.16 | $336.93 | |
United
| Professional | $134.77 | $224.43 | $480.93 |