| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $263.03 | $354.81 | $676.08 | |
Aetna
| Professional | $251.19 | $281.84 | $354.81 | |
BCBS
| Professional | $489.78 | $724.44 | $851.14 | |
Cigna
| Professional | $389.05 | $389.05 | $489.78 | |
Medica
| Facility | $223.87 | $281.84 | $676.08 | |
Medica
| Professional | $158.49 | $446.68 | $758.58 | |
United
| Professional | $158.49 | $380.19 | $630.96 |