| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $73.92 | $155.47 | $8,500.00 | |
Aetna
| Professional | $67.04 | $105.48 | $155.47 | |
BCBS
| Professional | $135.44 | $236.00 | $332.63 | |
Cigna
| Professional | $124.84 | $219.06 | $451.49 | |
Medica
| Facility | $73.92 | $155.47 | $264.32 | |
Medica
| Professional | $157.71 | $284.83 | $1,090.64 | |
United
| Professional | $138.51 | $225.99 | $335.57 |