| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $737.82 | $737.82 | $737.82 | |
BCBS
| Professional | $617.00 | $825.95 | $922.28 | |
Cigna
| Professional | $470.82 | $470.82 | $691.19 | |
Medica
| Facility | $245.94 | $311.52 | $737.82 | |
Medica
| Professional | $232.28 | $540.87 | $819.80 | |
United
| Professional | $172.16 | $418.10 | $696.83 |