| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $410.73 | $410.73 | $410.73 | |
Aetna
| Professional | $341.00 | $341.00 | $410.73 | |
BCBS
| Professional | $506.96 | $593.26 | $603.52 | |
Cigna
| Professional | $617.63 | $623.79 | $784.38 | |
Medica
| Facility | $341.00 | $553.72 | $2,544.80 | |
Medica
| Professional | $234.70 | $385.57 | $578.36 | |
United
| Professional | $181.58 | $385.57 | $599.25 |