| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $145.12 | $145.12 | $867.85 | |
Aetna
| Professional | $145.12 | $145.12 | $145.12 | |
BCBS
| Professional | $725.74 | $971.51 | $1,084.82 | |
Cigna
| Professional | $554.25 | $554.25 | $813.66 | |
Medica
| Facility | $145.12 | $289.27 | $723.21 | |
Medica
| Professional | $105.73 | $259.14 | $578.57 | |
United
| Professional | $105.73 | $211.46 | $414.62 |