| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $238.94 | $386.54 | $8,500.00 | |
Aetna
| Professional | $206.26 | $318.93 | $386.54 | |
BCBS
| Professional | $479.99 | $621.19 | $903.52 | |
Cigna
| Professional | $415.36 | $720.66 | $1,021.79 | |
Medica
| Facility | $238.94 | $406.20 | $716.82 | |
Medica
| Professional | $398.07 | $709.11 | $2,874.56 | |
United
| Professional | $398.07 | $477.68 | $756.40 |