| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $421.73 | $606.23 | $650.16 | |
Aetna
| Professional | $421.73 | $606.23 | $650.16 | |
Anthem BCBS
| Professional | $524.79 | $532.37 | $768.55 | |
Cigna
| Professional | $68.51 | $643.37 | $643.37 | |
Medica
| Facility | $57.47 | $595.38 | $4,141.80 | |
Medica
| Professional | $295.11 | $388.47 | $913.30 | |
United
| Professional | $265.58 | $376.04 | $748.69 |