| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $684.96 | $684.96 | $684.96 | |
Aetna
| Professional | $684.96 | $782.81 | $790.22 | |
BCBS
| Professional | $1,139.73 | $1,397.87 | $1,397.87 | |
Cigna
| Facility | $886.63 | $886.63 | $886.63 | |
Cigna
| Professional | $647.24 | $886.63 | $886.63 | |
Medica
| Facility | $457.00 | $958.81 | $7,396.37 | |
Medica
| Professional | $471.92 | $935.43 | $1,616.08 | |
United
| Professional | $471.92 | $760.93 | $1,066.33 |