| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $687.60 | $687.60 | $687.60 | |
Aetna
| Professional | $687.60 | $761.56 | $995.06 | |
BCBS
| Professional | $114.60 | $114.60 | $135.69 | |
Cigna
| Professional | $79.45 | $750.60 | $750.60 | |
Medica
| Facility | $95.58 | $687.60 | $1,376.92 | |
Medica
| Professional | $40.57 | $74.89 | $1,800.97 | |
United
| Professional | $40.57 | $64.91 | $706.45 |