| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $238.44 | $1,232.83 | $1,327.17 | |
Aetna
| Professional | $246.04 | $263.63 | $925.20 | |
BCBS
| Professional | $373.02 | $402.76 | $473.83 | |
Cigna
| Professional | $273.77 | $433.91 | $597.22 | |
Medica
| Facility | $173.55 | $383.60 | $680.69 | |
Medica
| Professional | $263.81 | $514.55 | $1,543.86 | |
United
| Professional | $263.81 | $449.51 | $665.78 |