| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $418.54 | $418.54 | $1,076.24 | |
Aetna
| Professional | $418.54 | $562.04 | $562.04 | |
BCBS
| Professional | $900.01 | $1,204.79 | $1,345.30 | |
Cigna
| Professional | $686.82 | $686.82 | $1,008.28 | |
Medica
| Facility | $358.75 | $454.41 | $1,076.24 | |
Medica
| Professional | $304.93 | $717.49 | $1,195.82 | |
United
| Facility | $597.91 | $597.91 | $597.91 | |
United
| Professional | $251.12 | $710.05 | $1,016.45 |