| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $234.77 | $234.77 | $603.67 | |
Aetna
| Professional | $234.77 | $315.26 | $315.26 | |
BCBS
| Professional | $504.83 | $675.79 | $754.61 | |
Cigna
| Professional | $385.33 | $385.33 | $565.67 | |
Medica
| Facility | $201.23 | $261.60 | $603.67 | |
Medica
| Professional | $201.23 | $486.30 | $670.76 | |
United
| Professional | $140.86 | $429.29 | $570.15 |