| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $816.84 | $816.84 | $1,203.91 | |
Aetna
| Professional | $786.59 | $816.84 | $855.06 | |
BCBS
| Professional | $1,512.67 | $1,512.67 | $1,512.67 | |
Cigna
| Facility | $1,025.33 | $1,025.33 | $1,025.33 | |
Cigna
| Professional | $748.49 | $1,025.33 | $1,025.33 | |
Medica
| Facility | $516.66 | $1,070.95 | $8,501.27 | |
Medica
| Professional | $533.54 | $825.86 | $1,708.59 | |
United
| Professional | $533.54 | $800.32 | $1,148.15 |