| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,750.28 | $1,750.28 | $1,750.28 | |
Aetna
| Professional | $1,525.39 | $1,525.39 | $1,750.28 | |
BCBS
| Professional | $2,249.36 | $2,659.53 | $2,725.69 | |
Cigna
| Professional | $2,545.13 | $2,570.58 | $3,232.31 | |
Medica
| Facility | $929.15 | $1,750.28 | $10,402.94 | |
Medica
| Professional | $869.54 | $1,108.89 | $1,916.82 | |
United
| Professional | $665.88 | $1,108.89 | $2,376.19 |