| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $790.78 | $790.78 | $790.78 | |
Aetna
| Professional | $600.16 | $747.03 | $790.78 | |
BCBS
| Professional | $1,016.26 | $1,201.58 | $1,231.47 | |
Cigna
| Professional | $1,246.50 | $1,258.97 | $1,583.06 | |
Medica
| Facility | $501.65 | $790.78 | $5,006.71 | |
Medica
| Professional | $433.01 | $531.97 | $866.02 | |
United
| Professional | $319.45 | $531.97 | $866.02 |