| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $813.47 | $813.47 | $813.47 | |
Aetna
| Professional | $766.90 | $766.90 | $813.47 | |
BCBS
| Professional | $1,045.43 | $1,236.07 | $1,266.82 | |
Cigna
| Professional | $1,279.50 | $1,292.30 | $1,624.97 | |
Medica
| Facility | $744.02 | $861.82 | $5,140.93 | |
Medica
| Professional | $445.44 | $572.97 | $904.23 | |
United
| Professional | $328.02 | $546.25 | $1,170.53 |