| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $447.32 | $447.32 | $447.32 | |
BCBS
| Professional | $374.07 | $500.75 | $559.15 | |
Cigna
| Professional | $285.38 | $285.38 | $418.96 | |
Medica
| Facility | $149.11 | $188.87 | $447.32 | |
Medica
| Professional | $126.74 | $298.20 | $497.02 | |
United
| Professional | $104.37 | $295.12 | $422.47 |