| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $830.34 | $830.34 | $830.34 | |
Aetna
| Professional | $830.34 | $906.81 | $906.81 | |
BCBS
| Professional | $1,067.09 | $1,261.69 | $1,293.07 | |
Cigna
| Professional | $1,513.13 | $1,528.26 | $1,921.67 | |
Medica
| Facility | $535.49 | $906.81 | $6,073.14 | |
Medica
| Professional | $454.68 | $569.38 | $948.96 | |
United
| Professional | $379.58 | $909.35 | $1,618.31 |