| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $133.25 | $4,859.47 | $4,859.47 | |
Aetna
| Professional | $133.25 | $325.25 | $482.84 | |
BCBS
| Professional | $262.35 | $437.87 | $688.47 | |
Cigna
| Professional | $183.10 | $382.92 | $774.16 | |
Medica
| Facility | $133.25 | $325.25 | $608.91 | |
Medica
| Professional | $338.50 | $596.66 | $848.45 | |
United
| Professional | $369.28 | $615.46 | $848.45 |