| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $522.20 | $522.20 | $522.20 | |
Aetna
| Professional | $414.23 | $414.23 | $522.20 | |
BCBS
| Professional | $767.11 | $906.99 | $918.63 | |
Cigna
| Professional | $791.25 | $799.16 | $1,004.89 | |
Medica
| Facility | $48.62 | $533.50 | $3,536.46 | |
Medica
| Professional | $223.70 | $337.19 | $533.46 | |
United
| Professional | $163.11 | $309.47 | $533.46 |