| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $69.73 | $135.77 | $8,500.00 | |
Aetna
| Professional | $64.33 | $111.08 | $135.77 | |
BCBS
| Professional | $135.44 | $175.30 | $294.72 | |
Cigna
| Professional | $115.51 | $203.59 | $332.55 | |
Medica
| Facility | $69.73 | $135.77 | $230.81 | |
Medica
| Professional | $139.31 | $249.07 | $1,510.76 | |
United
| Professional | $135.83 | $202.25 | $354.43 |