| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $263.41 | $263.41 | $263.41 | |
Aetna
| Professional | $263.41 | $299.95 | $299.95 | |
BCBS
| Professional | $338.52 | $400.25 | $410.21 | |
Cigna
| Professional | $415.13 | $419.28 | $527.21 | |
Medica
| Facility | $106.13 | $263.41 | $1,667.62 | |
Medica
| Professional | $144.24 | $239.41 | $292.80 | |
United
| Professional | $106.40 | $180.62 | $288.47 |