| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $314.38 | $314.38 | $314.38 | |
Aetna
| Professional | $314.38 | $359.30 | $359.30 | |
BCBS
| Professional | $641.60 | $641.60 | $641.60 | |
Cigna
| Facility | $564.36 | $564.36 | $564.36 | |
Cigna
| Professional | $411.98 | $564.36 | $564.36 | |
Medica
| Facility | $215.25 | $440.08 | $3,490.81 | |
Medica
| Professional | $222.28 | $440.60 | $741.75 | |
United
| Professional | $222.28 | $340.69 | $502.25 |