| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $144.94 | $191.51 | $8,500.00 | |
Aetna
| Professional | $125.36 | $159.87 | $232.29 | |
BCBS
| Professional | $293.92 | $373.80 | $449.44 | |
Cigna
| Professional | $261.54 | $379.32 | $606.54 | |
Medica
| Facility | $144.94 | $209.31 | $434.85 | |
Medica
| Professional | $178.43 | $336.42 | $1,442.72 | |
United
| Professional | $186.90 | $301.32 | $413.34 |