| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $220.88 | $350.44 | $8,500.00 | |
Aetna
| Professional | $200.18 | $287.94 | $350.44 | |
BCBS
| Professional | $433.97 | $559.75 | $792.13 | |
Cigna
| Professional | $391.54 | $563.00 | $1,048.55 | |
Medica
| Facility | $220.88 | $375.50 | $662.64 | |
Medica
| Professional | $358.01 | $619.52 | $1,602.32 | |
United
| Professional | $358.01 | $538.29 | $912.29 |