| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $575.48 | $575.48 | $575.48 | |
Aetna
| Professional | $549.60 | $549.60 | $575.48 | |
BCBS
| Professional | $739.57 | $874.43 | $896.18 | |
Cigna
| Professional | $916.88 | $926.04 | $1,164.43 | |
Medica
| Facility | $367.08 | $575.48 | $4,154.25 | |
Medica
| Professional | $315.12 | $394.61 | $657.69 | |
United
| Professional | $263.08 | $394.61 | $657.69 |