| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $797.90 | $1,498.14 | $2,314.92 | |
Aetna
| Professional | $543.75 | $630.75 | $725.00 | |
BCBS
| Professional | $906.25 | $906.25 | $906.25 | |
Cigna
| Facility | $640.90 | $1,187.55 | $1,643.59 | |
Medica
| Facility | $580.00 | $725.00 | $975.35 | |
Medica
| Professional | $304.50 | $435.00 | $3,610.50 | |
United
| Professional | $304.50 | $435.00 | $1,087.50 |