| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $546.11 | $546.11 | $546.11 | |
Aetna
| Professional | $546.11 | $628.72 | $628.72 | |
BCBS
| Professional | $701.83 | $829.81 | $850.45 | |
Cigna
| Professional | $870.38 | $879.08 | $1,105.38 | |
Medica
| Facility | $335.30 | $628.72 | $3,853.16 | |
Medica
| Professional | $299.04 | $561.71 | $624.12 | |
United
| Professional | $293.20 | $593.91 | $844.45 |