| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $128.82 | $173.78 | $8,511.38 | |
Aetna
| Professional | $120.23 | $173.78 | $338.84 | |
BCBS
| Professional | $257.04 | $331.13 | $407.38 | |
Cigna
| Professional | $257.04 | $338.84 | $478.63 | |
Medica
| Facility | $131.83 | $186.21 | $389.05 | |
Medica
| Professional | $173.78 | $302.00 | $1,288.25 | |
United
| Facility | $1,819.70 | $2,344.23 | $2,570.40 | |
United
| Professional | $144.54 | $234.42 | $354.81 |