| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $230.66 | $230.66 | $593.12 | |
Aetna
| Professional | $230.66 | $309.74 | $309.74 | |
BCBS
| Professional | $496.00 | $663.96 | $741.40 | |
Cigna
| Professional | $378.72 | $378.72 | $555.98 | |
Medica
| Facility | $197.71 | $250.43 | $593.12 | |
Medica
| Professional | $169.23 | $395.41 | $659.02 | |
United
| Professional | $138.38 | $336.10 | $560.16 |