| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $524.67 | $524.67 | $524.67 | |
Aetna
| Professional | $505.25 | $524.67 | $591.49 | |
BCBS
| Professional | $971.63 | $971.63 | $971.63 | |
Cigna
| Facility | $616.27 | $616.27 | $616.27 | |
Cigna
| Professional | $449.88 | $616.27 | $616.27 | |
Medica
| Facility | $530.51 | $722.35 | $5,140.93 | |
Medica
| Professional | $328.02 | $530.47 | $1,097.45 | |
United
| Professional | $328.02 | $524.83 | $783.48 |