| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $861.37 | $861.37 | $861.37 | |
Aetna
| Professional | $861.37 | $936.52 | $936.52 | |
BCBS
| Professional | $1,106.98 | $1,308.83 | $1,341.40 | |
Cigna
| Professional | $1,562.63 | $1,578.25 | $1,984.53 | |
Medica
| Facility | $530.30 | $936.52 | $6,061.86 | |
Medica
| Professional | $471.66 | $590.65 | $950.12 | |
United
| Professional | $380.05 | $590.65 | $950.12 |