| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $109.56 | $153.22 | $8,500.00 | |
Aetna
| Professional | $102.48 | $133.72 | $173.56 | |
BCBS
| Professional | $219.62 | $283.27 | $363.58 | |
Cigna
| Professional | $207.16 | $288.14 | $404.49 | |
Medica
| Facility | $109.56 | $172.15 | $413.65 | |
Medica
| Professional | $158.43 | $274.73 | $1,166.16 | |
United
| Professional | $156.75 | $273.10 | $398.72 |