| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $352.38 | $352.38 | $503.40 | |
Aetna
| Professional | $352.38 | $352.38 | $352.38 | |
BCBS
| Professional | $836.88 | $1,014.35 | $1,138.31 | |
Cigna
| Professional | $525.00 | $530.25 | $656.25 | |
Medica
| Facility | $352.38 | $599.04 | $2,391.15 | |
Medica
| Professional | $211.43 | $503.40 | $729.93 | |
United
| Professional | $211.43 | $513.47 | $729.93 |