| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $316.23 | $316.23 | $426.58 | |
Aetna
| Professional | $302.00 | $338.84 | $426.58 | |
BCBS
| Professional | $660.69 | $912.01 | $1,023.29 | |
Cigna
| Professional | $512.86 | $512.86 | $645.65 | |
Medica
| Facility | $269.15 | $338.84 | $812.83 | |
Medica
| Professional | $190.55 | $537.03 | $912.01 | |
United
| Professional | $190.55 | $457.09 | $758.58 |