| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $331.65 | $622.71 | $962.21 | |
Aetna
| Professional | $226.01 | $262.17 | $322.44 | |
BCBS
| Professional | $376.69 | $376.69 | $376.69 | |
Cigna
| Facility | $266.39 | $493.62 | $683.10 | |
Medica
| Facility | $241.08 | $301.35 | $405.40 | |
Medica
| Professional | $126.57 | $180.81 | $1,500.72 | |
United
| Professional | $126.57 | $180.81 | $452.03 |