| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $630.49 | $840.65 | $2,017.56 | |
Aetna
| Professional | $622.08 | $622.08 | $630.49 | |
BCBS
| Professional | $798.62 | $798.62 | $840.65 | |
Cigna
| Facility | $546.41 | $552.53 | $1,087.84 | |
Cigna
| Professional | $966.01 | $966.01 | $1,207.51 | |
Medica
| Facility | $504.39 | $680.93 | $2,816.18 | |
Medica
| Professional | $353.07 | $353.07 | $840.65 | |
United
| Facility | $302.63 | $756.59 | $840.65 | |
United
| Professional | $353.07 | $353.07 | $840.65 |