| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $428.93 | $428.93 | $428.93 | |
Aetna
| Professional | $418.66 | $418.66 | $428.93 | |
BCBS
| Professional | $551.23 | $651.75 | $667.97 | |
Cigna
| Professional | $698.63 | $705.61 | $887.25 | |
Medica
| Facility | $279.80 | $428.93 | $2,801.35 | |
Medica
| Professional | $234.87 | $294.12 | $469.74 | |
United
| Professional | $178.52 | $294.12 | $469.74 |