| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $5,749.93 | $10,796.10 | $16,682.09 | |
Aetna
| Professional | $4,179.68 | $4,545.39 | $5,224.60 | |
BCBS
| Professional | $6,530.75 | $6,530.75 | $6,530.75 | |
Cigna
| Facility | $4,618.55 | $8,557.89 | $11,847.07 | |
Medica
| Facility | $4,284.17 | $5,289.91 | $7,028.71 | |
Medica
| Professional | $2,194.33 | $3,134.76 | $26,018.51 | |
United
| Professional | $2,194.33 | $3,134.76 | $7,836.90 |