| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $62.57 | $123.56 | $8,500.00 | |
Aetna
| Professional | $59.83 | $111.87 | $135.13 | |
BCBS
| Professional | $119.01 | $179.08 | $281.58 | |
Cigna
| Professional | $104.74 | $184.60 | $382.92 | |
Medica
| Facility | $62.57 | $123.56 | $210.05 | |
Medica
| Professional | $125.23 | $240.61 | $915.44 | |
United
| Professional | $123.61 | $189.36 | $267.33 |