| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $104.04 | $154.19 | $8,500.00 | |
Aetna
| Professional | $90.72 | $133.66 | $257.18 | |
BCBS
| Professional | $211.06 | $272.24 | $361.25 | |
Cigna
| Professional | $187.93 | $303.22 | $414.79 | |
Medica
| Facility | $104.04 | $161.88 | $462.60 | |
Medica
| Professional | $154.55 | $267.70 | $1,164.40 | |
United
| Professional | $148.94 | $246.14 | $403.44 |