| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $495.28 | $495.28 | $495.28 | |
Aetna
| Professional | $495.28 | $565.75 | $565.75 | |
BCBS
| Professional | $636.51 | $752.58 | $771.31 | |
Cigna
| Professional | $783.00 | $790.83 | $994.41 | |
Medica
| Facility | $297.29 | $528.60 | $3,169.20 | |
Medica
| Professional | $271.20 | $454.44 | $550.54 | |
United
| Professional | $201.97 | $454.44 | $759.88 |