| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $377.28 | $377.28 | $377.28 | |
Aetna
| Professional | $377.28 | $431.17 | $431.17 | |
BCBS
| Professional | $523.90 | $769.95 | $769.95 | |
Cigna
| Facility | $528.74 | $528.74 | $528.74 | |
Cigna
| Professional | $385.98 | $528.74 | $528.74 | |
Medica
| Facility | $258.31 | $528.13 | $4,189.10 | |
Medica
| Professional | $266.75 | $528.73 | $890.15 | |
United
| Professional | $266.75 | $419.12 | $602.72 |