| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $793.87 | $793.87 | $793.87 | |
Aetna
| Professional | $423.45 | $539.89 | $793.87 | |
BCBS
| Professional | $173.71 | $229.76 | $2,128.84 | |
Cigna
| Professional | $98.63 | $123.28 | $1,315.78 | |
Medica
| Facility | $109.18 | $793.87 | $1,349.58 | |
Medica
| Professional | $740.18 | $1,399.59 | $1,988.92 | |
United
| Professional | $240.95 | $987.95 | $1,988.92 |