| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $54.93 | $72.98 | $8,500.00 | |
Aetna
| Professional | $32.96 | $50.31 | $76.20 | |
BCBS
| Professional | $106.52 | $137.68 | $168.64 | |
Cigna
| Professional | $89.78 | $135.27 | $218.36 | |
Medica
| Facility | $54.93 | $74.39 | $218.94 | |
Medica
| Professional | $76.03 | $129.74 | $399.52 | |
United
| Professional | $72.08 | $114.45 | $188.96 |