| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $927.31 | $927.31 | $927.31 | |
Aetna
| Professional | $876.00 | $876.00 | $927.31 | |
BCBS
| Professional | $1,191.73 | $1,409.04 | $1,444.09 | |
Cigna
| Professional | $1,461.75 | $1,476.37 | $1,856.42 | |
Medica
| Facility | $588.19 | $927.31 | $5,871.01 | |
Medica
| Professional | $507.78 | $623.80 | $1,015.55 | |
United
| Professional | $374.59 | $623.80 | $1,015.55 |