| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $40.00 | $840.00 | $960.00 | |
Aetna
| Professional | $40.00 | $40.00 | $832.00 | |
BCBS
| Professional | $624.00 | $829.12 | $970.24 | |
Cigna
| Professional | $600.00 | $870.00 | $1,110.00 | |
Medica
| Facility | $40.00 | $40.00 | $42.00 | |
Medica
| Professional | $47.00 | $52.00 | $3,604.48 | |
United
| Professional | $47.00 | $50.00 | $62.00 |