| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $846.23 | $846.23 | $846.23 | |
Aetna
| Professional | $846.23 | $967.12 | $992.66 | |
BCBS
| Professional | $1,727.00 | $1,727.00 | $1,727.00 | |
Cigna
| Facility | $1,576.65 | $1,576.65 | $1,576.65 | |
Cigna
| Professional | $1,150.95 | $1,576.65 | $1,576.65 | |
Medica
| Facility | $604.26 | $1,184.57 | $9,757.10 | |
Medica
| Professional | $624.00 | $1,236.85 | $1,996.58 | |
United
| Professional | $624.00 | $942.88 | $1,409.95 |