| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $128.15 | $174.71 | $8,500.00 | |
Aetna
| Professional | $118.47 | $144.03 | $193.09 | |
BCBS
| Professional | $245.26 | $323.61 | $408.15 | |
Cigna
| Professional | $213.07 | $318.25 | $515.83 | |
Medica
| Facility | $128.15 | $174.71 | $384.45 | |
Medica
| Professional | $179.73 | $318.87 | $1,249.20 | |
United
| Professional | $178.11 | $301.16 | $455.00 |