| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $52.46 | $122.84 | $8,500.00 | |
Aetna
| Professional | $43.49 | $86.85 | $273.60 | |
BCBS
| Professional | $101.26 | $176.62 | $277.70 | |
Cigna
| Professional | $83.83 | $202.77 | $377.65 | |
Medica
| Facility | $52.46 | $122.84 | $208.83 | |
Medica
| Professional | $122.38 | $225.35 | $903.20 | |
United
| Professional | $122.38 | $149.41 | $265.13 |