| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $439.87 | $439.87 | $648.30 | |
Aetna
| Professional | $423.58 | $439.87 | $495.87 | |
BCBS
| Professional | $814.57 | $814.57 | $814.57 | |
Cigna
| Facility | $576.88 | $576.88 | $576.88 | |
Cigna
| Professional | $421.12 | $576.88 | $576.88 | |
Medica
| Facility | $266.24 | $558.72 | $4,308.97 | |
Medica
| Professional | $274.93 | $443.41 | $920.06 | |
United
| Facility | $936.84 | $936.84 | $936.84 | |
United
| Professional | $274.93 | $419.04 | $591.64 |