| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $375.71 | $375.71 | $375.71 | |
Aetna
| Professional | $375.71 | $398.05 | $398.05 | |
BCBS
| Professional | $482.84 | $570.89 | $585.09 | |
Cigna
| Professional | $664.13 | $670.77 | $843.44 | |
Medica
| Facility | $259.12 | $398.05 | $2,780.76 | |
Medica
| Professional | $205.73 | $257.63 | $429.38 | |
United
| Professional | $201.72 | $411.46 | $710.37 |