| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $138.80 | $627.82 | $8,500.00 | |
Aetna
| Professional | $127.56 | $349.92 | $821.10 | |
BCBS
| Professional | $262.35 | $339.53 | $1,435.73 | |
Cigna
| Professional | $240.22 | $421.53 | $1,977.89 | |
Medica
| Facility | $138.80 | $627.82 | $1,067.29 | |
Medica
| Professional | $632.65 | $1,190.32 | $2,362.94 | |
United
| Professional | $228.03 | $840.23 | $1,400.38 |