| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $912.01 | $912.01 | $1,096.48 | |
Aetna
| Professional | $602.56 | $812.83 | $1,096.48 | |
BCBS
| Professional | $1,047.13 | $1,380.38 | $1,513.56 | |
Cigna
| Professional | $1,819.70 | $1,819.70 | $2,238.72 | |
Medica
| Facility | $676.08 | $1,258.93 | $6,606.93 | |
Medica
| Professional | $501.19 | $630.96 | $1,258.93 | |
United
| Facility | $630.96 | $2,041.74 | $2,041.74 | |
United
| Professional | $489.78 | $676.08 | $1,659.59 |