| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $416.78 | $656.98 | $1,330.78 | |
Aetna
| Professional | $416.78 | $416.78 | $416.78 | |
BCBS
| Facility | $877.16 | $932.56 | $1,398.85 | |
BCBS
| Professional | $463.45 | $463.45 | $463.45 | |
Cigna
| Facility | $368.44 | $682.69 | $843.88 | |
Medica
| Facility | $333.42 | $416.78 | $621.79 | |
Medica
| Professional | $175.07 | $250.10 | $2,075.56 | |
United
| Professional | $175.07 | $239.84 | $599.61 |