| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $311.33 | $584.54 | $903.24 | |
Aetna
| Professional | $212.16 | $246.11 | $302.68 | |
BCBS
| Professional | $353.60 | $353.60 | $353.60 | |
Cigna
| Facility | $250.06 | $463.35 | $641.61 | |
Medica
| Facility | $226.30 | $282.88 | $380.56 | |
Medica
| Professional | $118.81 | $169.73 | $1,408.74 | |
United
| Professional | $118.81 | $169.73 | $452.61 |