| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $275.42 | $363.08 | $707.95 | |
Aetna
| Professional | $275.42 | $354.81 | $467.74 | |
BCBS
| Professional | $575.44 | $776.25 | $891.25 | |
Cigna
| Professional | $446.68 | $446.68 | $575.44 | |
Medica
| Facility | $275.42 | $467.74 | $1,862.09 | |
Medica
| Professional | $165.96 | $199.53 | $660.69 | |
United
| Professional | $165.96 | $389.05 | $562.34 |