| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $382.41 | $382.41 | $382.41 | |
Aetna
| Professional | $382.41 | $422.36 | $422.36 | |
BCBS
| Professional | $491.45 | $581.07 | $595.53 | |
Cigna
| Professional | $704.63 | $711.67 | $894.87 | |
Medica
| Facility | $293.04 | $422.36 | $2,802.95 | |
Medica
| Professional | $209.40 | $277.14 | $437.04 | |
United
| Professional | $174.82 | $262.22 | $607.86 |