| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $302.00 | $302.00 | $776.25 | |
Aetna
| Professional | $288.40 | $323.59 | $398.11 | |
BCBS
| Professional | $630.96 | $851.14 | $977.24 | |
Cigna
| Professional | $489.78 | $489.78 | $616.60 | |
Medica
| Facility | $257.04 | $323.59 | $776.25 | |
Medica
| Professional | $177.83 | $512.86 | $851.14 | |
United
| Professional | $177.83 | $436.52 | $724.44 |