| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $345.53 | $345.53 | $345.53 | |
Aetna
| Professional | $345.53 | $362.75 | $394.89 | |
BCBS
| Professional | $705.16 | $705.16 | $705.16 | |
Cigna
| Facility | $427.13 | $427.13 | $427.13 | |
Cigna
| Professional | $311.80 | $427.13 | $427.13 | |
Medica
| Facility | $194.53 | $483.67 | $3,226.39 | |
Medica
| Professional | $200.88 | $398.18 | $786.44 | |
United
| Professional | $200.88 | $374.43 | $453.89 |