| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $416.78 | $416.78 | $416.78 | |
Aetna
| Professional | $416.78 | $416.78 | $416.78 | |
BCBS
| Professional | $627.36 | $839.81 | $937.76 | |
Cigna
| Professional | $478.96 | $478.96 | $703.13 | |
Medica
| Facility | $416.78 | $416.78 | $750.20 | |
Medica
| Professional | $211.40 | $492.25 | $833.66 | |
United
| Professional | $175.05 | $492.25 | $708.61 |