| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $352.38 | $352.38 | $906.12 | |
Aetna
| Professional | $352.38 | $352.38 | $352.38 | |
BCBS
| Professional | $836.88 | $1,014.35 | $1,138.31 | |
Cigna
| Professional | $578.20 | $583.98 | $734.31 | |
Medica
| Facility | $352.38 | $599.04 | $2,391.15 | |
Medica
| Professional | $211.43 | $503.40 | $855.78 | |
United
| Facility | $503.40 | $503.40 | $503.40 | |
United
| Professional | $211.43 | $256.73 | $729.93 |