| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $335.37 | $568.98 | $879.19 | |
Aetna
| Professional | $206.51 | $206.51 | $206.51 | |
BCBS
| Professional | $389.25 | $389.25 | $389.25 | |
Cigna
| Facility | $243.41 | $451.03 | $624.70 | |
Medica
| Facility | $220.28 | $275.35 | $370.43 | |
Medica
| Professional | $115.65 | $165.21 | $1,371.24 | |
United
| Professional | $115.65 | $165.21 | $413.03 |