| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $65.44 | $145.56 | $8,500.00 | |
Aetna
| Professional | $55.89 | $95.31 | $145.56 | |
BCBS
| Professional | $120.99 | $200.73 | $315.61 | |
Cigna
| Professional | $111.60 | $195.83 | $360.24 | |
Medica
| Facility | $65.44 | $145.56 | $247.45 | |
Medica
| Professional | $147.61 | $271.05 | $1,032.32 | |
United
| Professional | $144.35 | $214.64 | $314.16 |