| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $363.93 | $363.93 | $363.93 | |
Aetna
| Professional | $363.93 | $458.99 | $458.99 | |
BCBS
| Professional | $467.70 | $552.98 | $566.74 | |
Cigna
| Professional | $635.25 | $641.60 | $806.77 | |
Medica
| Facility | $191.07 | $363.93 | $2,323.85 | |
Medica
| Professional | $189.53 | $326.57 | $404.54 | |
United
| Professional | $123.37 | $249.55 | $517.95 |