| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $170.02 | $256.63 | $8,500.00 | |
Aetna
| Professional | $147.21 | $216.07 | $270.83 | |
BCBS
| Professional | $335.34 | $488.32 | $615.88 | |
Cigna
| Professional | $312.73 | $490.78 | $792.21 | |
Medica
| Facility | $170.02 | $256.63 | $510.06 | |
Medica
| Professional | $258.02 | $460.10 | $1,889.68 | |
United
| Professional | $258.02 | $313.98 | $553.88 |