| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $223.87 | $302.00 | $575.44 | |
Aetna
| Professional | $223.87 | $288.40 | $389.05 | |
BCBS
| Professional | $467.74 | $616.60 | $724.44 | |
Cigna
| Professional | $371.54 | $371.54 | $467.74 | |
Medica
| Facility | $223.87 | $380.19 | $1,548.82 | |
Medica
| Professional | $134.90 | $181.97 | $549.54 | |
United
| Professional | $134.90 | $331.13 | $467.74 |