| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $75.90 | $160.35 | $8,500.00 | |
Aetna
| Professional | $64.37 | $107.46 | $160.35 | |
BCBS
| Professional | $146.63 | $227.79 | $358.16 | |
Cigna
| Professional | $135.56 | $237.87 | $486.30 | |
Medica
| Facility | $75.90 | $160.35 | $272.60 | |
Medica
| Professional | $162.76 | $294.16 | $1,157.35 | |
United
| Professional | $160.91 | $240.95 | $346.08 |