| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $776.25 | $776.25 | $776.25 | |
Aetna
| Professional | $295.12 | $354.81 | $457.09 | |
BCBS
| Professional | $389.05 | $389.05 | $389.05 | |
Cigna
| Professional | $316.23 | $416.87 | $676.08 | |
Medica
| Facility | $323.59 | $436.52 | $794.33 | |
Medica
| Professional | $323.59 | $436.52 | $2,511.89 | |
United
| Professional | $316.23 | $398.11 | $588.84 |