| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $155.58 | $721.08 | $2,500.00 | |
Aetna
| Professional | $142.93 | $202.82 | $242.33 | |
BCBS
| Professional | $309.04 | $398.61 | $550.00 | |
Cigna
| Professional | $287.51 | $459.41 | $628.45 | |
Medica
| Facility | $155.58 | $239.67 | $466.74 | |
Medica
| Professional | $244.69 | $439.67 | $1,766.72 | |
United
| Professional | $237.24 | $373.14 | $626.39 |