| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $291.16 | $291.16 | $291.16 | |
Aetna
| Professional | $291.16 | $396.44 | $396.44 | |
BCBS
| Professional | $374.18 | $442.41 | $453.42 | |
Cigna
| Professional | $548.63 | $554.11 | $696.75 | |
Medica
| Facility | $207.16 | $390.89 | $2,089.06 | |
Medica
| Professional | $159.43 | $297.88 | $330.98 | |
United
| Professional | $132.38 | $297.88 | $472.43 |