| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $122.22 | $199.46 | $8,500.00 | |
Aetna
| Professional | $118.96 | $169.81 | $199.46 | |
BCBS
| Professional | $244.60 | $381.51 | $481.18 | |
Cigna
| Professional | $216.66 | $333.04 | $620.27 | |
Medica
| Facility | $122.22 | $199.46 | $366.66 | |
Medica
| Professional | $203.55 | $363.68 | $1,475.60 | |
United
| Professional | $193.68 | $312.52 | $430.49 |