| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $464.04 | $464.04 | $464.04 | |
Aetna
| Professional | $396.31 | $396.31 | $464.04 | |
BCBS
| Professional | $596.35 | $705.10 | $722.64 | |
Cigna
| Professional | $661.13 | $667.74 | $839.63 | |
Medica
| Facility | $277.82 | $464.04 | $2,777.77 | |
Medica
| Professional | $235.48 | $287.92 | $508.19 | |
United
| Professional | $203.06 | $302.57 | $641.67 |