| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $90.62 | $98.20 | $8,500.00 | |
Aetna
| Professional | $83.43 | $90.62 | $119.99 | |
BCBS
| Professional | $176.88 | $194.57 | $228.91 | |
Cigna
| Professional | $140.22 | $205.04 | $293.26 | |
Medica
| Facility | $90.62 | $119.28 | $271.86 | |
Medica
| Professional | $96.67 | $158.18 | $650.40 | |
United
| Facility | $5,025.00 | $5,025.00 | $5,025.00 | |
United
| Professional | $96.67 | $123.86 | $211.95 |