| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $263.03 | $354.81 | $691.83 | |
Aetna
| Professional | $263.03 | $338.84 | $457.09 | |
BCBS
| Professional | $501.19 | $758.58 | $870.96 | |
Cigna
| Professional | $436.52 | $436.52 | $549.54 | |
Medica
| Facility | $269.15 | $457.09 | $1,819.70 | |
Medica
| Professional | $158.49 | $194.98 | $645.65 | |
United
| Professional | $158.49 | $380.19 | $549.54 |