| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $881.41 | $881.41 | $881.41 | |
Aetna
| Professional | $642.95 | $832.63 | $881.41 | |
BCBS
| Professional | $1,132.74 | $1,339.29 | $1,372.61 | |
Cigna
| Professional | $1,389.38 | $1,403.27 | $1,764.51 | |
Medica
| Facility | $559.09 | $881.41 | $5,580.24 | |
Medica
| Professional | $482.64 | $592.91 | $965.27 | |
United
| Professional | $356.04 | $534.05 | $965.27 |