| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $253.34 | $253.34 | $258.02 | |
Aetna
| Professional | $191.10 | $263.04 | $348.74 | |
BCBS
| Professional | $472.28 | $582.49 | $636.87 | |
Cigna
| Professional | $287.23 | $537.90 | $795.48 | |
Medica
| Facility | $253.34 | $356.45 | $498.67 | |
Medica
| Professional | $283.11 | $514.74 | $5,040.00 | |
United
| Professional | $264.54 | $461.79 | $608.15 |