| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $616.30 | $996.97 | $2,698.72 | |
Aetna
| Professional | $574.91 | $574.91 | $574.91 | |
BCBS
| Facility | $411.48 | $1,562.66 | $2,475.46 | |
BCBS
| Professional | $391.76 | $569.83 | $2,760.12 | |
Cigna
| Facility | $465.40 | $1,187.03 | $1,978.38 | |
Medica
| Facility | $453.17 | $676.37 | $1,206.41 | |
Medica
| Professional | $284.08 | $284.08 | $3,381.85 | |
United
| Professional | $284.08 | $284.08 | $405.82 |