| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $31.15 | $31.15 | $8,500.00 | |
Aetna
| Professional | $31.15 | $749.38 | $749.38 | |
BCBS
| Professional | $76.93 | $99.35 | $135.38 | |
Cigna
| Professional | $136.13 | $170.16 | $292.50 | |
Medica
| Facility | $31.15 | $52.96 | $215.88 | |
Medica
| Professional | $47.01 | $83.90 | $96.04 | |
United
| Professional | $47.01 | $83.90 | $277.81 |