| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $144.54 | $162.18 | $8,511.38 | |
Aetna
| Professional | $114.82 | $162.18 | $234.42 | |
BCBS
| Professional | $309.03 | $354.81 | $416.87 | |
Cigna
| Professional | $245.47 | $354.81 | $501.19 | |
Medica
| Facility | $162.18 | $213.80 | $478.63 | |
Medica
| Professional | $181.97 | $316.23 | $1,513.56 | |
United
| Facility | $4,677.35 | $5,128.61 | $5,128.61 | |
United
| Professional | $173.78 | $275.42 | $380.19 |