| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $412.71 | $774.90 | $1,197.38 | |
Aetna
| Professional | $281.25 | $326.25 | $375.00 | |
BCBS
| Professional | $468.75 | $468.75 | $468.75 | |
Cigna
| Facility | $331.50 | $614.25 | $850.61 | |
Medica
| Facility | $307.50 | $375.00 | $504.49 | |
Medica
| Professional | $157.50 | $225.00 | $1,875.00 | |
United
| Professional | $157.50 | $225.00 | $562.50 |