| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $138.76 | $737.01 | $5,000.00 | |
Aetna
| Professional | $128.57 | $168.30 | $210.67 | |
BCBS
| Professional | $269.58 | $347.73 | $430.10 | |
Cigna
| Professional | $218.63 | $341.65 | $565.41 | |
Medica
| Facility | $138.76 | $190.37 | $416.28 | |
Medica
| Professional | $196.69 | $349.23 | $1,366.64 | |
United
| Professional | $192.29 | $289.52 | $410.88 |