| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $889.61 | $889.61 | $889.61 | |
Aetna
| Professional | $840.38 | $840.38 | $889.61 | |
BCBS
| Professional | $1,143.28 | $1,351.77 | $1,385.39 | |
Cigna
| Professional | $1,402.13 | $1,416.15 | $1,780.70 | |
Medica
| Facility | $564.30 | $889.61 | $5,632.19 | |
Medica
| Professional | $487.13 | $598.42 | $974.26 | |
United
| Professional | $359.36 | $598.42 | $974.26 |