| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $87.82 | $147.01 | $8,500.00 | |
Aetna
| Professional | $79.73 | $124.87 | $201.05 | |
BCBS
| Professional | $174.90 | $226.35 | $345.01 | |
Cigna
| Professional | $155.61 | $274.27 | $469.42 | |
Medica
| Facility | $87.82 | $147.01 | $263.45 | |
Medica
| Professional | $149.05 | $268.41 | $1,110.16 | |
United
| Professional | $146.72 | $263.82 | $385.04 |