| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $86.36 | $460.97 | $8,500.00 | |
Aetna
| Professional | $79.20 | $136.33 | $568.37 | |
BCBS
| Professional | $163.06 | $211.03 | $813.01 | |
Cigna
| Professional | $150.69 | $268.64 | $939.98 | |
Medica
| Facility | $86.36 | $424.95 | $783.65 | |
Medica
| Professional | $463.39 | $924.05 | $1,344.07 | |
United
| Professional | $341.85 | $564.95 | $1,087.11 |