| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $467.74 | $724.44 | $1,621.81 | |
Aetna
| Professional | $316.23 | $316.23 | $436.52 | |
BCBS
| Facility | $407.38 | $549.54 | $870.96 | |
Cigna
| Professional | $52.48 | $52.48 | $52.48 | |
Medica
| Facility | $316.23 | $331.13 | $501.19 | |
United
| Facility | $263.03 | $269.15 | $288.40 |