| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $321.55 | $389.40 | $8,500.00 | |
Aetna
| Professional | $271.75 | $324.68 | $428.28 | |
BCBS
| Professional | $634.51 | $765.36 | $900.42 | |
Cigna
| Professional | $554.80 | $782.30 | $1,025.60 | |
Medica
| Facility | $321.55 | $436.26 | $964.65 | |
Medica
| Professional | $402.04 | $714.35 | $2,861.36 | |
United
| Facility | $5,025.00 | $5,025.00 | $5,025.00 | |
United
| Professional | $386.21 | $604.66 | $840.44 |