| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $307.25 | $307.25 | $2,347.11 | |
Aetna
| Professional | $307.25 | $307.25 | $412.59 | |
BCBS
| Professional | $877.86 | $2,627.46 | $2,948.56 | |
Cigna
| Professional | $1,498.36 | $1,513.35 | $1,902.92 | |
Medica
| Facility | $307.25 | $412.59 | $2,347.11 | |
Medica
| Professional | $252.88 | $636.45 | $1,564.74 | |
United
| Professional | $184.35 | $614.50 | $1,564.74 |