| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $244.81 | $444.02 | $2,000.00 | |
Aetna
| Professional | $212.86 | $359.08 | $446.36 | |
BCBS
| Professional | $483.28 | $650.64 | $1,091.71 | |
Cigna
| Professional | $401.01 | $758.80 | $1,351.29 | |
Medica
| Facility | $244.81 | $444.02 | $745.97 | |
Medica
| Professional | $452.20 | $811.04 | $1,830.48 | |
United
| Professional | $452.20 | $790.34 | $994.84 |