| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,365.28 | $1,365.28 | $1,365.28 | |
Aetna
| Professional | $1,135.03 | $1,135.03 | $1,365.28 | |
BCBS
| Professional | $1,754.59 | $2,074.54 | $2,126.15 | |
Cigna
| Professional | $1,893.75 | $1,912.69 | $2,405.06 | |
Medica
| Facility | $754.00 | $1,365.28 | $8,437.43 | |
Medica
| Professional | $679.13 | $884.18 | $1,495.18 | |
United
| Professional | $530.94 | $884.18 | $1,495.18 |