| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,713.99 | $1,713.99 | $4,407.41 | |
Aetna
| Professional | $600.00 | $600.00 | $2,361.19 | |
BCBS
| Professional | $4,131.95 | $4,933.85 | $5,536.81 | |
Cigna
| Professional | $2,813.77 | $2,841.91 | $3,573.49 | |
Medica
| Facility | $1,371.19 | $1,860.91 | $5,141.97 | |
Medica
| Professional | $307.07 | $1,028.40 | $4,897.12 | |
United
| Professional | $307.07 | $1,028.40 | $3,550.41 |