| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $399.52 | $399.52 | $399.52 | |
Aetna
| Professional | $399.52 | $456.59 | $456.59 | |
BCBS
| Professional | $554.78 | $815.34 | $815.34 | |
Cigna
| Facility | $589.44 | $589.44 | $589.44 | |
Cigna
| Professional | $430.29 | $589.44 | $589.44 | |
Medica
| Facility | $254.51 | $559.25 | $4,115.68 | |
Medica
| Professional | $262.82 | $520.95 | $942.61 | |
United
| Professional | $262.82 | $443.83 | $593.85 |