| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $478.63 | $478.63 | $645.65 | |
Aetna
| Professional | $457.09 | $512.86 | $645.65 | |
BCBS
| Professional | $1,000.00 | $1,348.96 | $1,548.82 | |
Cigna
| Professional | $776.25 | $776.25 | $977.24 | |
Medica
| Facility | $407.38 | $512.86 | $1,230.27 | |
Medica
| Professional | $288.40 | $812.83 | $1,348.96 | |
United
| Professional | $288.40 | $691.83 | $1,148.15 |