| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $252.96 | $252.96 | $650.47 | |
Aetna
| Professional | $252.96 | $339.69 | $339.69 | |
BCBS
| Professional | $543.96 | $728.16 | $813.08 | |
Cigna
| Professional | $415.07 | $415.07 | $609.33 | |
Medica
| Facility | $216.82 | $274.64 | $650.47 | |
Medica
| Professional | $184.30 | $433.64 | $722.74 | |
United
| Professional | $151.78 | $368.60 | $614.33 |