| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $281.48 | $281.48 | $723.82 | |
Aetna
| Professional | $281.48 | $377.99 | $377.99 | |
BCBS
| Professional | $605.29 | $810.27 | $904.77 | |
Cigna
| Professional | $462.15 | $462.15 | $678.45 | |
Medica
| Facility | $241.27 | $313.64 | $723.82 | |
Medica
| Professional | $241.27 | $583.07 | $804.24 | |
United
| Professional | $168.89 | $410.16 | $689.51 |