| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $776.25 | $1,230.27 | $2,344.23 | |
Aetna
| Professional | $776.25 | $1,000.00 | $1,230.27 | |
BCBS
| Professional | $1,905.46 | $2,511.89 | $2,951.21 | |
Cigna
| Professional | $1,513.56 | $1,513.56 | $1,862.09 | |
Medica
| Facility | $724.44 | $1,000.00 | $2,344.23 | |
Medica
| Professional | $467.74 | $1,318.26 | $2,238.72 | |
United
| Professional | $467.74 | $1,318.26 | $1,905.46 |