| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $34.61 | $101.38 | $8,500.00 | |
Aetna
| Professional | $26.51 | $58.54 | $165.01 | |
BCBS
| Professional | $66.41 | $145.13 | $228.20 | |
Cigna
| Professional | $58.65 | $108.42 | $313.30 | |
Medica
| Facility | $34.61 | $97.92 | $172.35 | |
Medica
| Professional | $100.52 | $177.25 | $745.84 | |
United
| Professional | $100.52 | $167.40 | $218.81 |