| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $366.35 | $366.35 | $366.35 | |
Aetna
| Professional | $267.24 | $346.07 | $366.35 | |
BCBS
| Professional | $470.82 | $556.67 | $570.53 | |
Cigna
| Professional | $577.50 | $583.28 | $733.43 | |
Medica
| Facility | $232.39 | $398.46 | $2,319.50 | |
Medica
| Professional | $200.61 | $246.45 | $407.24 | |
United
| Facility | $220.01 | $220.01 | $220.01 | |
United
| Professional | $147.99 | $246.45 | $528.11 |