| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $627.90 | $627.90 | $1,614.60 | |
Aetna
| Professional | $627.90 | $627.90 | $843.18 | |
BCBS
| Professional | $1,491.22 | $1,807.46 | $2,028.34 | |
Cigna
| Professional | $1,030.84 | $1,041.16 | $1,309.18 | |
Medica
| Facility | $627.90 | $1,067.43 | $4,260.75 | |
Medica
| Professional | $376.74 | $897.00 | $1,524.90 | |
United
| Professional | $376.74 | $457.47 | $1,300.65 |