| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,621.71 | $1,621.71 | $1,621.71 | |
Aetna
| Professional | $1,412.46 | $1,412.46 | $1,621.71 | |
BCBS
| Professional | $2,084.12 | $2,464.17 | $2,525.46 | |
Cigna
| Professional | $2,356.50 | $2,380.07 | $2,992.76 | |
Medica
| Facility | $810.77 | $1,621.71 | $9,247.12 | |
Medica
| Professional | $758.75 | $967.61 | $1,776.01 | |
United
| Professional | $581.04 | $888.01 | $1,776.01 |