| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $83.81 | $131.44 | $8,500.00 | |
Aetna
| Professional | $72.81 | $101.76 | $131.44 | |
BCBS
| Professional | $161.09 | $207.79 | $291.63 | |
Cigna
| Professional | $151.61 | $231.39 | $387.14 | |
Medica
| Facility | $83.81 | $131.44 | $251.43 | |
Medica
| Professional | $134.97 | $241.13 | $937.28 | |
United
| Professional | $132.12 | $196.06 | $283.69 |