| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $306.58 | $306.58 | $306.58 | |
Aetna
| Professional | $247.18 | $247.18 | $306.58 | |
BCBS
| Professional | $394.01 | $465.86 | $477.45 | |
Cigna
| Professional | $499.50 | $504.50 | $634.37 | |
Medica
| Facility | $136.53 | $306.58 | $2,238.26 | |
Medica
| Professional | $167.88 | $210.23 | $342.20 | |
United
| Professional | $136.88 | $210.23 | $342.20 |