| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $354.81 | $478.63 | $912.01 | |
Aetna
| Professional | $354.81 | $457.09 | $616.60 | |
BCBS
| Professional | $758.58 | $1,023.29 | $1,148.15 | |
Cigna
| Professional | $588.84 | $588.84 | $741.31 | |
Medica
| Facility | $354.81 | $602.56 | $2,454.71 | |
Medica
| Professional | $213.80 | $263.03 | $870.96 | |
United
| Professional | $213.80 | $512.86 | $741.31 |