| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $96.71 | $120.89 | $8,500.00 | |
Aetna
| Professional | $57.86 | $88.83 | $145.59 | |
BCBS
| Professional | $190.02 | $237.72 | $280.80 | |
Cigna
| Professional | $159.80 | $225.32 | $303.58 | |
Medica
| Facility | $96.71 | $124.40 | $290.13 | |
Medica
| Professional | $126.76 | $219.38 | $703.76 | |
United
| Facility | $1,978.00 | $1,978.00 | $1,978.00 | |
United
| Professional | $121.88 | $189.19 | $312.47 |