| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $34.67 | $512.86 | $549.54 | |
Aetna
| Professional | $34.67 | $50.12 | $794.33 | |
Cigna
| Professional | $537.03 | $691.83 | $776.25 | |
Medica
| Facility | $85.11 | $85.11 | $3,715.35 | |
Medica
| Professional | $50.12 | $64.57 | $2,238.72 | |
United
| Professional | $44.67 | $60.26 | $89.13 | |
Wellmark
| Professional | $512.86 | $645.65 | $812.83 |