| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $415.37 | $415.37 | $415.37 | |
Aetna
| Professional | $303.00 | $303.00 | $415.37 | |
BCBS
| Professional | $533.80 | $631.15 | $646.85 | |
Cigna
| Professional | $654.75 | $661.30 | $831.53 | |
Medica
| Facility | $263.48 | $415.37 | $2,629.88 | |
Medica
| Professional | $227.45 | $279.43 | $454.90 | |
United
| Professional | $167.80 | $279.43 | $564.79 |