| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $82.41 | $127.88 | $5,135.93 | |
Aetna
| Professional | $70.19 | $103.09 | $134.87 | |
BCBS
| Professional | $165.04 | $213.59 | $293.95 | |
Cigna
| Professional | $155.10 | $226.83 | $399.80 | |
Medica
| Facility | $82.41 | $133.22 | $383.64 | |
Medica
| Professional | $129.91 | $230.17 | $947.68 | |
United
| Professional | $127.85 | $214.37 | $276.00 |