| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $790.35 | $790.35 | $790.35 | |
Aetna
| Professional | $746.64 | $746.64 | $790.35 | |
BCBS
| Professional | $1,015.72 | $1,200.93 | $1,230.81 | |
Cigna
| Professional | $1,245.75 | $1,258.21 | $1,582.10 | |
Medica
| Facility | $501.34 | $790.35 | $5,003.81 | |
Medica
| Professional | $432.78 | $531.66 | $865.55 | |
United
| Professional | $319.26 | $531.66 | $1,139.28 |