| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $847.18 | $847.18 | $847.18 | |
Aetna
| Professional | $815.80 | $847.18 | $996.99 | |
BCBS
| Professional | $1,568.85 | $1,568.85 | $1,568.85 | |
Cigna
| Facility | $1,037.25 | $1,037.25 | $1,037.25 | |
Cigna
| Professional | $757.19 | $1,037.25 | $1,037.25 | |
Medica
| Facility | $856.59 | $1,215.80 | $8,839.16 | |
Medica
| Professional | $552.10 | $872.37 | $1,813.74 | |
United
| Professional | $552.10 | $828.14 | $1,246.24 |