| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $302.45 | $567.91 | $877.53 | |
Aetna
| Professional | $206.12 | $239.10 | $294.07 | |
BCBS
| Professional | $343.54 | $343.54 | $343.54 | |
Cigna
| Facility | $242.95 | $450.17 | $623.16 | |
Medica
| Facility | $219.86 | $274.83 | $369.73 | |
Medica
| Professional | $115.43 | $164.90 | $1,368.65 | |
United
| Facility | $164.90 | $164.90 | $274.83 | |
United
| Professional | $115.43 | $164.90 | $412.25 |