| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $297.19 | $297.19 | $297.19 | |
Aetna
| Professional | $297.19 | $324.24 | $379.85 | |
BCBS
| Professional | $639.77 | $752.67 | $825.22 | |
Cigna
| Professional | $306.98 | $647.71 | $1,055.48 | |
Medica
| Facility | $297.19 | $455.67 | $636.09 | |
Medica
| Professional | $296.93 | $501.21 | $2,326.30 | |
United
| Professional | $296.93 | $501.21 | $702.05 |