| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $144.54 | $144.54 | $870.96 | |
Aetna
| Professional | $144.54 | $323.59 | $457.09 | |
BCBS
| Professional | $630.96 | $933.25 | $1,096.48 | |
Cigna
| Professional | $549.54 | $549.54 | $691.83 | |
Medica
| Facility | $144.54 | $288.40 | $724.44 | |
Medica
| Professional | $87.10 | $245.47 | $575.44 | |
United
| Professional | $87.10 | $245.47 | $575.44 |