| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $525.00 | $525.00 | $1,350.00 | |
Aetna
| Professional | $525.00 | $525.00 | $705.00 | |
BCBS
| Professional | $1,246.83 | $1,511.25 | $1,695.94 | |
Cigna
| Professional | $861.93 | $870.55 | $1,094.65 | |
Medica
| Facility | $525.00 | $892.50 | $3,562.50 | |
Medica
| Professional | $315.00 | $750.00 | $1,275.00 | |
United
| Professional | $315.00 | $382.50 | $1,087.50 |