| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $726.72 | $726.72 | $726.72 | |
Aetna
| Professional | $530.12 | $583.13 | $726.72 | |
BCBS
| Professional | $933.94 | $1,104.24 | $1,131.71 | |
Cigna
| Professional | $1,145.25 | $1,156.70 | $1,454.47 | |
Medica
| Facility | $292.81 | $726.72 | $4,601.05 | |
Medica
| Professional | $397.94 | $488.87 | $795.87 | |
United
| Professional | $249.53 | $440.35 | $795.87 |