| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $282.51 | $282.51 | $726.46 | |
Aetna
| Professional | $282.51 | $379.37 | $379.37 | |
BCBS
| Professional | $607.51 | $813.23 | $908.08 | |
Cigna
| Professional | $463.80 | $463.80 | $680.88 | |
Medica
| Facility | $242.15 | $306.73 | $726.46 | |
Medica
| Professional | $154.54 | $378.78 | $807.18 | |
United
| Professional | $154.54 | $378.78 | $686.10 |