| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $149.97 | $149.97 | $8,500.00 | |
Aetna
| Professional | $132.55 | $138.86 | $204.97 | |
BCBS
| Professional | $295.94 | $322.73 | $382.99 | |
Cigna
| Professional | $209.33 | $339.00 | $437.77 | |
Medica
| Facility | $149.97 | $194.96 | $449.91 | |
Medica
| Professional | $161.68 | $274.77 | $2,380.89 | |
United
| Professional | $162.36 | $274.77 | $384.10 |