| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $812.83 | $812.83 | $3,162.28 | |
Aetna
| Professional | $812.83 | $1,047.13 | $1,348.96 | |
BCBS
| Professional | $2,570.40 | $3,388.44 | $3,981.07 | |
Cigna
| Professional | $1,995.26 | $1,995.26 | $2,511.89 | |
Medica
| Facility | $812.83 | $1,096.48 | $2,630.27 | |
Medica
| Professional | $489.78 | $1,380.38 | $2,344.23 | |
United
| Professional | $489.78 | $1,380.38 | $2,238.72 |