| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $301.73 | $301.73 | $444.71 | |
Aetna
| Professional | $206.00 | $290.55 | $301.73 | |
BCBS
| Professional | $455.58 | $558.75 | $558.75 | |
Cigna
| Facility | $328.44 | $328.44 | $328.44 | |
Cigna
| Professional | $239.76 | $328.44 | $328.44 | |
Medica
| Facility | $169.29 | $395.60 | $2,802.95 | |
Medica
| Professional | $174.82 | $304.16 | $631.14 | |
United
| Professional | $174.82 | $287.74 | $376.19 |