| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $479.65 | $479.65 | $479.65 | |
Aetna
| Professional | $479.65 | $529.02 | $529.02 | |
BCBS
| Professional | $616.41 | $728.83 | $746.96 | |
Cigna
| Professional | $882.75 | $891.58 | $1,121.08 | |
Medica
| Facility | $342.82 | $529.02 | $3,518.89 | |
Medica
| Professional | $262.64 | $328.90 | $543.71 | |
United
| Professional | $217.48 | $362.18 | $659.27 |