| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $63.04 | $102.74 | $8,500.00 | |
Aetna
| Professional | $58.21 | $97.52 | $170.51 | |
BCBS
| Professional | $124.27 | $160.83 | $234.38 | |
Cigna
| Professional | $104.74 | $174.76 | $258.45 | |
Medica
| Facility | $63.04 | $107.17 | $308.22 | |
Medica
| Professional | $106.83 | $237.47 | $743.20 | |
United
| Professional | $106.83 | $163.38 | $266.95 |