| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,168.84 | $1,168.84 | $1,168.84 | |
Aetna
| Professional | $1,104.16 | $1,104.16 | $1,168.84 | |
BCBS
| Professional | $1,502.14 | $1,776.06 | $1,820.24 | |
Cigna
| Professional | $1,842.38 | $1,860.80 | $2,339.82 | |
Medica
| Facility | $741.41 | $1,168.84 | $7,399.97 | |
Medica
| Professional | $640.03 | $786.26 | $1,280.06 | |
United
| Professional | $472.15 | $786.26 | $1,280.06 |