| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $155.38 | $204.48 | $8,500.00 | |
Aetna
| Professional | $133.62 | $170.56 | $256.62 | |
BCBS
| Professional | $316.27 | $399.53 | $480.38 | |
Cigna
| Professional | $279.50 | $413.34 | $644.53 | |
Medica
| Facility | $155.38 | $226.73 | $466.17 | |
Medica
| Professional | $207.02 | $359.86 | $1,533.68 | |
United
| Professional | $207.02 | $339.86 | $441.33 |