| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $603.50 | $954.47 | $1,647.20 | |
Aetna
| Professional | $603.50 | $603.50 | $816.50 | |
Anthem BCBS
| Professional | $362.10 | $468.60 | $1,257.52 | |
Cigna
| Professional | $824.25 | $824.25 | $824.25 | |
Medica
| Facility | $603.50 | $852.00 | $3,372.50 | |
Medica
| Professional | $298.20 | $426.00 | $3,535.80 | |
United
| Professional | $298.20 | $426.00 | $803.01 |