| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $93.99 | $169.05 | $8,500.00 | |
Aetna
| Professional | $86.20 | $151.69 | $174.95 | |
BCBS
| Professional | $185.42 | $341.62 | $410.76 | |
Cigna
| Professional | $153.22 | $270.05 | $539.04 | |
Medica
| Facility | $93.99 | $169.05 | $316.26 | |
Medica
| Professional | $176.12 | $299.43 | $1,344.11 | |
United
| Professional | $174.37 | $271.08 | $364.86 |