| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $552.96 | $552.96 | $552.96 | |
Aetna
| Professional | $467.42 | $467.42 | $552.96 | |
BCBS
| Professional | $730.15 | $854.44 | $869.21 | |
Cigna
| Professional | $889.50 | $898.40 | $1,129.67 | |
Medica
| Facility | $467.42 | $637.41 | $3,751.53 | |
Medica
| Professional | $312.62 | $461.32 | $651.92 | |
United
| Professional | $214.86 | $434.62 | $767.17 |