| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $208.93 | $562.34 | $1,071.52 | |
Aetna
| Professional | $208.93 | $398.11 | $562.34 | |
BCBS
| Professional | $794.33 | $1,148.15 | $1,348.96 | |
Cigna
| Professional | $691.83 | $691.83 | $870.96 | |
Medica
| Facility | $208.93 | $363.08 | $891.25 | |
Medica
| Professional | $125.89 | $389.05 | $724.44 | |
United
| Professional | $125.89 | $354.81 | $724.44 |