| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $364.00 | $364.00 | $936.00 | |
Aetna
| Professional | $364.00 | $488.80 | $488.80 | |
BCBS
| Professional | $782.73 | $1,047.80 | $1,170.00 | |
Cigna
| Professional | $597.61 | $597.61 | $877.32 | |
Medica
| Facility | $312.00 | $395.20 | $936.00 | |
Medica
| Professional | $265.20 | $624.00 | $1,040.00 | |
United
| Professional | $218.40 | $530.40 | $884.00 |