| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $310.32 | $310.32 | $797.96 | |
Aetna
| Professional | $310.32 | $416.71 | $416.71 | |
BCBS
| Professional | $667.30 | $893.27 | $997.45 | |
Cigna
| Professional | $509.23 | $509.23 | $747.57 | |
Medica
| Facility | $265.99 | $336.92 | $797.96 | |
Medica
| Professional | $226.09 | $531.97 | $886.62 | |
United
| Professional | $186.19 | $526.45 | $642.79 |