| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $369.51 | $369.51 | $950.17 | |
Aetna
| Professional | $369.51 | $496.20 | $496.20 | |
BCBS
| Professional | $794.58 | $1,063.66 | $1,187.71 | |
Cigna
| Professional | $606.70 | $606.70 | $890.66 | |
Medica
| Facility | $316.72 | $401.18 | $950.17 | |
Medica
| Professional | $269.20 | $633.44 | $1,055.74 | |
United
| Professional | $221.71 | $538.42 | $765.41 |