| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $299.08 | $299.08 | $769.07 | |
Aetna
| Professional | $299.08 | $401.62 | $401.62 | |
BCBS
| Professional | $643.13 | $860.93 | $961.34 | |
Cigna
| Professional | $491.06 | $491.06 | $720.89 | |
Medica
| Facility | $256.36 | $324.72 | $769.07 | |
Medica
| Professional | $217.90 | $512.71 | $854.52 | |
United
| Professional | $179.45 | $512.71 | $619.53 |