| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $696.93 | $696.93 | $851.07 | |
Aetna
| Professional | $83.39 | $708.19 | $851.07 | |
Anthem BCBS
| Professional | $197.52 | $697.33 | $977.01 | |
Cigna
| Professional | $630.72 | $630.72 | $630.72 | |
Medica
| Facility | $191.88 | $762.87 | $1,741.76 | |
Medica
| Professional | $64.53 | $227.75 | $4,977.89 | |
United
| Professional | $64.53 | $227.75 | $943.80 |