| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $581.61 | $581.61 | $581.61 | |
Aetna
| Professional | $468.47 | $468.47 | $581.61 | |
BCBS
| Professional | $834.21 | $986.33 | $998.99 | |
Cigna
| Professional | $862.50 | $871.13 | $1,095.38 | |
Medica
| Facility | $57.14 | $591.14 | $2,587.75 | |
Medica
| Professional | $266.98 | $396.16 | $627.08 | |
United
| Professional | $194.66 | $418.05 | $598.62 |