| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $39.29 | $106.42 | $8,500.00 | |
Aetna
| Professional | $29.62 | $58.57 | $114.81 | |
BCBS
| Professional | $72.98 | $94.46 | $239.81 | |
Cigna
| Professional | $68.09 | $157.37 | $329.12 | |
Medica
| Facility | $39.29 | $106.42 | $180.91 | |
Medica
| Professional | $106.09 | $187.23 | $784.32 | |
United
| Professional | $99.93 | $165.15 | $278.83 |