| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $900.90 | $900.90 | $2,316.60 | |
Aetna
| Professional | $900.90 | $900.90 | $1,209.78 | |
BCBS
| Professional | $2,171.81 | $2,593.31 | $2,910.23 | |
Cigna
| Professional | $1,478.95 | $1,493.74 | $1,878.27 | |
Medica
| Facility | $862.29 | $1,003.86 | $2,702.70 | |
Medica
| Professional | $540.54 | $1,528.38 | $2,574.00 | |
United
| Professional | $540.54 | $1,528.38 | $1,801.80 |