| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,711.10 | $2,711.10 | $6,971.40 | |
Aetna
| Professional | $2,711.10 | $3,640.62 | $3,640.62 | |
BCBS
| Professional | $5,829.83 | $7,804.10 | $8,714.25 | |
Cigna
| Professional | $4,450.49 | $4,450.49 | $6,533.52 | |
Medica
| Facility | $2,323.80 | $2,943.48 | $6,971.40 | |
Medica
| Professional | $1,975.23 | $4,647.60 | $7,746.00 | |
United
| Professional | $1,626.66 | $3,950.46 | $6,584.10 |