| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $532.00 | $532.00 | $1,368.00 | |
Aetna
| Professional | $532.00 | $714.40 | $714.40 | |
BCBS
| Professional | $1,143.99 | $1,531.40 | $1,710.00 | |
Cigna
| Professional | $793.13 | $793.13 | $991.41 | |
Medica
| Facility | $456.00 | $577.60 | $1,368.00 | |
Medica
| Professional | $387.60 | $912.00 | $1,520.00 | |
United
| Professional | $319.20 | $775.20 | $1,292.00 |