| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $853.65 | $853.65 | $853.65 | |
Aetna
| Professional | $543.83 | $559.29 | $853.65 | |
BCBS
| Professional | $1,394.69 | $1,394.69 | $1,394.69 | |
Cigna
| Facility | $854.15 | $854.15 | $854.15 | |
Cigna
| Professional | $623.53 | $854.15 | $1,276.41 | |
Medica
| Facility | $288.18 | $838.24 | $3,899.19 | |
Medica
| Professional | $420.18 | $712.41 | $1,569.94 | |
United
| Professional | $444.95 | $712.41 | $999.59 |