| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $357.84 | $357.84 | $920.16 | |
Aetna
| Professional | $357.84 | $357.84 | $480.53 | |
BCBS
| Professional | $849.84 | $1,030.07 | $1,155.95 | |
Cigna
| Professional | $587.29 | $593.16 | $745.85 | |
Medica
| Facility | $357.84 | $608.33 | $2,428.19 | |
Medica
| Professional | $214.70 | $511.20 | $869.04 | |
United
| Professional | $214.70 | $260.70 | $741.24 |