| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $106.57 | $165.40 | $8,500.00 | |
Aetna
| Professional | $102.07 | $142.46 | $169.53 | |
BCBS
| Professional | $209.75 | $270.55 | $387.56 | |
Cigna
| Professional | $186.73 | $298.05 | $525.33 | |
Medica
| Facility | $106.57 | $165.40 | $319.70 | |
Medica
| Professional | $167.82 | $292.66 | $1,245.92 | |
United
| Professional | $165.44 | $259.01 | $356.98 |