| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $572.04 | $572.04 | $572.04 | |
Aetna
| Professional | $210.61 | $374.79 | $572.04 | |
BCBS
| Professional | $617.32 | $617.32 | $617.32 | |
Cigna
| Facility | $408.60 | $408.60 | $408.60 | |
Cigna
| Professional | $298.27 | $408.60 | $1,103.44 | |
Medica
| Facility | $210.61 | $556.74 | $3,518.89 | |
Medica
| Professional | $217.48 | $344.63 | $882.56 | |
United
| Professional | $220.92 | $344.63 | $461.58 |