| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $421.89 | $421.89 | $1,084.85 | |
Aetna
| Professional | $421.89 | $421.89 | $566.54 | |
BCBS
| Professional | $907.21 | $1,214.44 | $1,356.08 | |
Cigna
| Professional | $692.60 | $692.60 | $1,016.77 | |
Medica
| Facility | $361.62 | $458.05 | $1,084.85 | |
Medica
| Professional | $307.38 | $723.24 | $1,205.40 | |
United
| Professional | $253.13 | $614.75 | $1,024.58 |