| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $442.58 | $442.58 | $442.58 | |
Aetna
| Professional | $367.61 | $367.61 | $442.58 | |
BCBS
| Professional | $695.42 | $813.80 | $827.86 | |
Cigna
| Professional | $705.00 | $712.05 | $895.35 | |
Medica
| Facility | $115.17 | $442.58 | $3,331.13 | |
Medica
| Professional | $252.90 | $368.48 | $552.72 | |
United
| Professional | $202.32 | $368.48 | $552.72 |