| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $909.48 | $909.48 | $909.48 | |
Aetna
| Professional | $430.91 | $595.87 | $909.48 | |
BCBS
| Professional | $1,202.14 | $1,202.14 | $1,202.14 | |
Cigna
| Facility | $616.27 | $616.27 | $616.27 | |
Cigna
| Professional | $449.88 | $616.27 | $1,599.38 | |
Medica
| Facility | $595.87 | $872.49 | $5,140.93 | |
Medica
| Professional | $328.02 | $547.92 | $1,483.23 | |
United
| Professional | $352.57 | $546.25 | $780.35 |