| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $213.80 | $812.83 | $1,174.90 | |
Aetna
| Professional | $416.87 | $416.87 | $1,148.15 | |
BCBS
| Professional | $616.60 | $831.76 | $933.25 | |
Cigna
| Professional | $478.63 | $478.63 | $602.56 | |
Medica
| Facility | $416.87 | $416.87 | $912.01 | |
Medica
| Professional | $173.78 | $489.78 | $831.76 | |
United
| Professional | $173.78 | $436.52 | $707.95 |