| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $470.29 | $470.29 | $574.29 | |
Aetna
| Professional | $470.29 | $514.38 | $672.40 | |
Anthem BCBS
| Professional | $75.47 | $696.14 | $895.22 | |
Cigna
| Professional | $813.94 | $818.96 | $818.96 | |
Medica
| Facility | $399.75 | $540.10 | $1,336.97 | |
Medica
| Professional | $468.64 | $869.30 | $4,977.89 | |
United
| Professional | $284.33 | $852.74 | $1,441.72 |