| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $318.00 | $318.00 | $318.00 | |
Aetna
| Professional | $318.00 | $318.00 | $321.18 | |
BCBS
| Professional | $286.77 | $322.58 | $349.31 | |
Cigna
| Facility | $594.52 | $594.52 | $683.70 | |
Cigna
| Professional | $278.66 | $318.00 | $348.33 | |
Medica
| Facility | $318.00 | $445.20 | $588.29 | |
Medica
| Professional | $273.51 | $318.00 | $356.16 | |
United
| Professional | $318.00 | $318.00 | $356.16 |