| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $574.95 | $574.95 | $847.39 | |
Aetna
| Professional | $553.66 | $574.95 | $648.17 | |
BCBS
| Professional | $724.47 | $1,064.73 | $1,064.73 | |
Cigna
| Facility | $782.41 | $782.41 | $782.41 | |
Cigna
| Professional | $571.16 | $782.41 | $782.41 | |
Medica
| Facility | $347.99 | $740.40 | $5,632.19 | |
Medica
| Professional | $359.36 | $579.58 | $1,202.63 | |
United
| Professional | $359.36 | $539.03 | $773.30 |