| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $272.63 | $433.59 | $5,000.00 | |
Aetna
| Professional | $255.43 | $360.82 | $443.04 | |
BCBS
| Professional | $549.03 | $779.00 | $1,052.75 | |
Cigna
| Professional | $414.00 | $820.80 | $1,122.80 | |
Medica
| Facility | $272.63 | $433.59 | $731.20 | |
Medica
| Professional | $440.65 | $795.42 | $2,066.08 | |
United
| Professional | $440.65 | $738.04 | $935.82 |