| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $660.69 | $891.25 | $1,698.24 | |
Aetna
| Professional | $660.69 | $851.14 | $1,148.15 | |
BCBS
| Professional | $1,412.54 | $1,905.46 | $2,137.96 | |
Cigna
| Professional | $1,096.48 | $1,096.48 | $1,380.38 | |
Medica
| Facility | $660.69 | $1,122.02 | $4,466.84 | |
Medica
| Professional | $398.11 | $489.78 | $1,621.81 | |
United
| Professional | $398.11 | $954.99 | $1,380.38 |