| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $124.77 | $193.34 | $8,500.00 | |
Aetna
| Professional | $111.95 | $165.05 | $196.44 | |
BCBS
| Professional | $242.63 | $314.00 | $448.66 | |
Cigna
| Professional | $226.98 | $326.25 | $509.82 | |
Medica
| Facility | $124.77 | $193.34 | $374.31 | |
Medica
| Professional | $196.69 | $354.68 | $1,445.12 | |
United
| Professional | $193.99 | $236.03 | $417.29 |