| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $352.80 | $352.80 | $907.20 | |
Aetna
| Professional | $352.80 | $352.80 | $473.76 | |
BCBS
| Professional | $850.50 | $1,015.56 | $1,139.67 | |
Cigna
| Professional | $579.03 | $584.82 | $735.36 | |
Medica
| Facility | $327.60 | $383.04 | $1,058.40 | |
Medica
| Professional | $211.68 | $598.53 | $1,008.00 | |
United
| Professional | $211.68 | $514.08 | $730.80 |