| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $133.25 | $207.23 | $8,500.00 | |
Aetna
| Professional | $119.31 | $173.65 | $210.27 | |
BCBS
| Professional | $260.38 | $336.98 | $481.93 | |
Cigna
| Professional | $230.42 | $389.65 | $651.91 | |
Medica
| Facility | $133.25 | $207.23 | $399.75 | |
Medica
| Professional | $210.76 | $380.16 | $1,548.96 | |
United
| Professional | $207.89 | $326.10 | $447.26 |