| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $263.03 | $354.81 | $691.83 | |
Aetna
| Professional | $251.19 | $288.40 | $354.81 | |
BCBS
| Professional | $549.54 | $724.44 | $851.14 | |
Cigna
| Professional | $436.52 | $436.52 | $549.54 | |
Medica
| Facility | $229.09 | $288.40 | $691.83 | |
Medica
| Professional | $158.49 | $446.68 | $758.58 | |
United
| Professional | $158.49 | $389.05 | $645.65 |