| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $35.00 | $550.00 | $550.00 | |
Aetna
| Professional | $35.00 | $50.00 | $600.00 | |
Cigna
| Professional | $459.00 | $669.06 | $749.25 | |
Medica
| Facility | $84.50 | $84.50 | $3,700.00 | |
Medica
| Professional | $50.00 | $65.00 | $110.00 | |
United
| Professional | $45.00 | $60.00 | $90.00 | |
Wellmark
| Professional | $507.00 | $640.00 | $665.00 |