| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $418.46 | $418.46 | $616.76 | |
Aetna
| Professional | $402.96 | $418.45 | $459.21 | |
BCBS
| Professional | $774.93 | $774.93 | $774.93 | |
Cigna
| Facility | $501.14 | $501.14 | $501.14 | |
Cigna
| Professional | $365.83 | $501.14 | $501.14 | |
Medica
| Facility | $258.31 | $548.64 | $4,303.54 | |
Medica
| Professional | $266.74 | $423.08 | $875.30 | |
United
| Professional | $266.74 | $400.12 | $574.02 |