| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $387.41 | $387.41 | $387.41 | |
Aetna
| Professional | $162.62 | $196.97 | $704.95 | |
Anthem BCBS
| Professional | $209.77 | $260.80 | $403.11 | |
Cigna
| Professional | $225.82 | $314.64 | $543.03 | |
Medica
| Facility | $170.75 | $285.79 | $443.95 | |
Medica
| Professional | $211.37 | $288.75 | $2,055.80 | |
United
| Professional | $202.83 | $259.81 | $385.70 |