| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $399.55 | $399.55 | $399.55 | |
Aetna
| Professional | $399.55 | $416.26 | $416.26 | |
BCBS
| Professional | $513.48 | $607.11 | $622.21 | |
Cigna
| Professional | $694.50 | $701.45 | $882.02 | |
Medica
| Facility | $243.52 | $416.26 | $2,619.48 | |
Medica
| Professional | $218.79 | $273.61 | $437.58 | |
United
| Professional | $192.97 | $273.61 | $586.30 |