| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $94.51 | $403.34 | $403.34 | |
Aetna
| Professional | $294.22 | $294.22 | $403.34 | |
BCBS
| Professional | $518.35 | $612.87 | $628.11 | |
Cigna
| Professional | $635.63 | $641.98 | $807.24 | |
Medica
| Facility | $162.50 | $403.34 | $2,563.00 | |
Medica
| Professional | $220.86 | $271.32 | $441.72 | |
United
| Professional | $191.35 | $441.72 | $680.00 |