| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $661.63 | $661.63 | $661.63 | |
Aetna
| Professional | $661.63 | $794.75 | $794.75 | |
BCBS
| Professional | $850.29 | $1,005.34 | $1,030.34 | |
Cigna
| Professional | $1,099.88 | $1,110.86 | $1,396.84 | |
Medica
| Facility | $266.06 | $661.63 | $4,189.10 | |
Medica
| Professional | $362.30 | $600.17 | $735.46 | |
United
| Professional | $266.75 | $600.17 | $951.89 |