| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $391.35 | $391.35 | $391.35 | |
Aetna
| Professional | $364.30 | $364.30 | $391.35 | |
BCBS
| Professional | $502.95 | $594.66 | $609.45 | |
Cigna
| Professional | $504.38 | $509.42 | $640.55 | |
Medica
| Facility | $242.49 | $391.35 | $2,350.53 | |
Medica
| Professional | $180.82 | $325.48 | $428.59 | |
United
| Professional | $144.66 | $216.98 | $428.59 |