| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $169.77 | $169.77 | $8,500.00 | |
Aetna
| Professional | $156.66 | $156.66 | $171.12 | |
BCBS
| Professional | $335.19 | $363.43 | $433.77 | |
Cigna
| Professional | $236.56 | $383.11 | $494.74 | |
Medica
| Facility | $169.77 | $220.70 | $509.31 | |
Medica
| Professional | $183.34 | $311.42 | $2,475.00 | |
United
| Professional | $183.34 | $294.12 | $434.59 |