| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $96.47 | $149.88 | $8,500.00 | |
Aetna
| Professional | $91.68 | $128.18 | $153.84 | |
BCBS
| Professional | $192.00 | $247.65 | $349.65 | |
Cigna
| Professional | $179.06 | $282.45 | $396.52 | |
Medica
| Facility | $96.47 | $149.88 | $289.41 | |
Medica
| Professional | $152.30 | $274.95 | $1,120.80 | |
United
| Professional | $149.99 | $233.21 | $323.49 |