| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $430.55 | $430.55 | $430.55 | |
Aetna
| Professional | $430.55 | $557.92 | $557.92 | |
BCBS
| Professional | $553.32 | $654.21 | $670.49 | |
Cigna
| Professional | $772.13 | $779.85 | $980.60 | |
Medica
| Facility | $329.94 | $542.17 | $3,128.35 | |
Medica
| Professional | $235.76 | $442.85 | $492.06 | |
United
| Professional | $231.16 | $471.52 | $825.96 |