| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $109.61 | $1,324.16 | $2,500.00 | |
Aetna
| Professional | $93.92 | $132.84 | $177.00 | |
BCBS
| Professional | $217.64 | $280.73 | $369.76 | |
Cigna
| Professional | $193.91 | $310.41 | $501.07 | |
Medica
| Facility | $109.61 | $160.50 | $328.83 | |
Medica
| Professional | $161.52 | $280.95 | $1,194.16 | |
United
| Professional | $161.52 | $265.35 | $346.41 |