| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $366.27 | $366.27 | $366.27 | |
Aetna
| Professional | $366.27 | $394.97 | $418.59 | |
BCBS
| Professional | $747.49 | $747.49 | $747.49 | |
Cigna
| Facility | $410.92 | $410.92 | $410.92 | |
Cigna
| Professional | $299.97 | $410.92 | $410.92 | |
Medica
| Facility | $211.80 | $512.71 | $3,432.45 | |
Medica
| Professional | $218.72 | $433.54 | $833.65 | |
United
| Professional | $218.72 | $406.89 | $494.21 |