| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $403.34 | $403.34 | $403.34 | |
Aetna
| Professional | $315.68 | $344.89 | $403.34 | |
BCBS
| Professional | $518.35 | $612.87 | $628.11 | |
Cigna
| Professional | $635.63 | $641.98 | $807.24 | |
Medica
| Facility | $369.55 | $438.71 | $2,563.00 | |
Medica
| Professional | $223.29 | $285.12 | $562.32 | |
United
| Professional | $162.93 | $276.23 | $446.58 |