| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $125.66 | $204.33 | $8,500.00 | |
Aetna
| Professional | $122.82 | $173.51 | $204.33 | |
BCBS
| Professional | $251.83 | $325.92 | $471.10 | |
Cigna
| Professional | $235.18 | $362.09 | $638.20 | |
Medica
| Facility | $125.66 | $204.33 | $376.98 | |
Medica
| Professional | $208.24 | $374.84 | $1,515.36 | |
United
| Professional | $200.14 | $320.36 | $534.50 |