| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $291.75 | $291.75 | $750.20 | |
Aetna
| Professional | $291.75 | $486.97 | $541.39 | |
BCBS
| Professional | $627.36 | $839.81 | $937.76 | |
Cigna
| Professional | $478.96 | $478.96 | $703.13 | |
Medica
| Facility | $250.07 | $370.48 | $750.20 | |
Medica
| Professional | $250.07 | $604.33 | $833.56 | |
United
| Professional | $175.05 | $533.48 | $708.53 |