| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,347.11 | $2,347.11 | $2,347.11 | |
Aetna
| Professional | $1,225.71 | $1,225.71 | $1,225.71 | |
BCBS
| Professional | $1,962.78 | $2,627.46 | $2,933.89 | |
Cigna
| Professional | $1,498.36 | $1,498.36 | $2,199.67 | |
Medica
| Facility | $730.21 | $991.00 | $2,347.11 | |
Medica
| Professional | $570.16 | $1,397.48 | $2,235.96 | |
United
| Professional | $547.66 | $1,140.33 | $1,900.57 |