| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $691.83 | $691.83 | $1,174.90 | |
Aetna
| Professional | $16.98 | $125.89 | $1,445.44 | |
BCBS
| Professional | $51.29 | $58.88 | $58.88 | |
Cigna
| Professional | $28.84 | $28.84 | $36.31 | |
Medica
| Facility | $13.49 | $17.38 | $39.81 | |
Medica
| Professional | $46.77 | $75.86 | $478.63 | |
United
| Professional | $22.39 | $46.77 | $61.66 |