| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $132.47 | $1,398.84 | $4,336.56 | |
Aetna
| Professional | $131.00 | $287.66 | $468.43 | |
BCBS
| Professional | $261.69 | $338.67 | $721.75 | |
Cigna
| Professional | $228.03 | $401.91 | $892.42 | |
Medica
| Facility | $132.47 | $297.05 | $572.63 | |
Medica
| Professional | $302.07 | $535.29 | $777.55 | |
United
| Professional | $302.07 | $535.29 | $777.55 |