| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $784.56 | $784.56 | $784.56 | |
Aetna
| Professional | $784.56 | $836.53 | $836.53 | |
BCBS
| Professional | $1,008.28 | $1,192.14 | $1,221.80 | |
Cigna
| Professional | $1,395.75 | $1,409.71 | $1,772.60 | |
Medica
| Facility | $556.19 | $836.53 | $5,716.25 | |
Medica
| Professional | $429.61 | $537.98 | $896.64 | |
United
| Professional | $421.24 | $597.27 | $1,279.85 |