| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $630.39 | $997.01 | $1,720.60 | |
Aetna
| Professional | $630.39 | $630.39 | $637.80 | |
Anthem BCBS
| Professional | $378.23 | $489.48 | $1,313.57 | |
Cigna
| Professional | $860.96 | $860.96 | $860.96 | |
Medica
| Facility | $630.39 | $889.97 | $3,522.79 | |
Medica
| Professional | $311.49 | $444.98 | $3,693.37 | |
United
| Professional | $311.49 | $444.98 | $838.79 |