| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $108.48 | $181.74 | $8,500.00 | |
Aetna
| Professional | $96.51 | $148.19 | $181.74 | |
BCBS
| Professional | $209.75 | $270.55 | $400.70 | |
Cigna
| Professional | $197.36 | $318.57 | $452.34 | |
Medica
| Facility | $108.48 | $181.74 | $325.44 | |
Medica
| Professional | $186.94 | $333.40 | $1,925.20 | |
United
| Professional | $183.38 | $273.32 | $473.79 |