| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $485.11 | $485.11 | $485.11 | |
Aetna
| Professional | $485.11 | $510.28 | $510.28 | |
BCBS
| Professional | $623.42 | $737.12 | $755.45 | |
Cigna
| Professional | $851.25 | $859.76 | $1,081.08 | |
Medica
| Facility | $341.82 | $510.28 | $3,443.36 | |
Medica
| Professional | $265.64 | $332.65 | $543.87 | |
United
| Professional | $217.55 | $326.32 | $543.87 |