| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,500.52 | $1,500.52 | $1,500.52 | |
Aetna
| Professional | $1,286.16 | $1,500.52 | $2,014.98 | |
BCBS
| Professional | $3,617.33 | $4,319.35 | $4,847.22 | |
Cigna
| Professional | $2,463.13 | $2,487.76 | $3,128.18 | |
Medica
| Facility | $1,200.42 | $1,629.14 | $4,501.56 | |
Medica
| Professional | $307.07 | $900.31 | $4,287.20 | |
United
| Professional | $307.07 | $900.31 | $3,108.22 |