| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $566.82 | $637.66 | $1,662.95 | |
Aetna
| Professional | $416.78 | $416.78 | $416.78 | |
BCBS
| Facility | $45.02 | $170.98 | $270.86 | |
BCBS
| Professional | $41.25 | $60.00 | $290.63 | |
Cigna
| Facility | $228.79 | $289.43 | $761.26 | |
Medica
| Facility | $416.78 | $458.46 | $743.55 | |
Medica
| Professional | $174.31 | $175.07 | $2,075.56 | |
United
| Professional | $165.11 | $175.07 | $250.10 |