| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $390.41 | $390.41 | $390.41 | |
Aetna
| Professional | $372.85 | $372.85 | $390.41 | |
BCBS
| Professional | $501.72 | $593.21 | $607.97 | |
Cigna
| Professional | $622.13 | $628.35 | $790.10 | |
Medica
| Facility | $299.17 | $390.41 | $2,901.23 | |
Medica
| Professional | $213.78 | $297.20 | $446.18 | |
United
| Professional | $178.47 | $267.70 | $446.18 |