| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $551.33 | $551.33 | $551.33 | |
Aetna
| Professional | $551.33 | $662.27 | $662.27 | |
BCBS
| Professional | $708.53 | $837.74 | $858.58 | |
Cigna
| Professional | $916.50 | $925.67 | $1,163.96 | |
Medica
| Facility | $221.71 | $551.33 | $3,490.81 | |
Medica
| Professional | $301.89 | $500.13 | $612.85 | |
United
| Professional | $261.07 | $500.13 | $790.68 |