| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $26.12 | $41.27 | $8,500.00 | |
Aetna
| Professional | $15.41 | $26.66 | $41.27 | |
BCBS
| Professional | $48.66 | $76.56 | $92.06 | |
Cigna
| Professional | $41.30 | $65.70 | $122.37 | |
Medica
| Facility | $26.12 | $43.35 | $345.49 | |
Medica
| Professional | $42.55 | $72.88 | $185.20 | |
United
| Professional | $42.55 | $62.72 | $89.07 |