| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $570.05 | $570.05 | $570.05 | |
Aetna
| Professional | $460.22 | $460.22 | $570.05 | |
BCBS
| Professional | $813.11 | $961.38 | $973.72 | |
Cigna
| Professional | $840.00 | $848.40 | $1,066.80 | |
Medica
| Facility | $56.68 | $587.09 | $2,570.06 | |
Medica
| Professional | $265.16 | $392.89 | $621.80 | |
United
| Professional | $193.33 | $366.81 | $621.80 |