| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $304.68 | $304.68 | $304.68 | |
Aetna
| Professional | $304.68 | $346.90 | $346.90 | |
BCBS
| Professional | $391.56 | $462.96 | $474.48 | |
Cigna
| Professional | $480.00 | $484.80 | $609.60 | |
Medica
| Facility | $122.75 | $304.68 | $1,928.91 | |
Medica
| Professional | $166.84 | $276.89 | $338.68 | |
United
| Professional | $123.07 | $276.89 | $333.67 |