| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $438.38 | $438.38 | $438.38 | |
Aetna
| Professional | $363.97 | $363.97 | $438.38 | |
BCBS
| Professional | $542.99 | $635.41 | $646.41 | |
Cigna
| Professional | $661.50 | $668.12 | $840.11 | |
Medica
| Facility | $363.97 | $586.30 | $2,699.33 | |
Medica
| Professional | $250.51 | $408.34 | $612.51 | |
United
| Professional | $162.12 | $291.97 | $612.51 |