| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $522.57 | $522.57 | $522.57 | |
Aetna
| Professional | $522.57 | $550.80 | $550.80 | |
BCBS
| Professional | $671.58 | $794.04 | $813.79 | |
Cigna
| Professional | $919.13 | $928.32 | $1,167.29 | |
Medica
| Facility | $333.33 | $550.80 | $3,769.74 | |
Medica
| Professional | $286.14 | $358.33 | $597.22 | |
United
| Professional | $280.57 | $418.05 | $597.22 |