| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,802.26 | $1,802.26 | $4,634.37 | |
Aetna
| Professional | $1,802.26 | $1,802.26 | $2,420.17 | |
BCBS
| Professional | $3,875.50 | $5,187.92 | $5,792.96 | |
Cigna
| Professional | $2,958.32 | $2,958.32 | $4,342.95 | |
Medica
| Facility | $1,544.79 | $1,956.73 | $4,634.37 | |
Medica
| Professional | $1,313.07 | $3,089.58 | $5,149.30 | |
United
| Professional | $1,081.34 | $2,626.14 | $4,376.91 |