| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $453.69 | $453.69 | $453.69 | |
Aetna
| Professional | $453.69 | $522.32 | $522.32 | |
BCBS
| Professional | $583.05 | $689.38 | $706.53 | |
Cigna
| Professional | $723.00 | $730.23 | $918.21 | |
Medica
| Facility | $304.39 | $522.32 | $3,225.13 | |
Medica
| Professional | $248.43 | $466.65 | $518.50 | |
United
| Professional | $207.40 | $466.65 | $518.50 |