| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $123.69 | $188.65 | $8,500.00 | |
Aetna
| Professional | $111.35 | $161.37 | $194.20 | |
BCBS
| Professional | $240.65 | $311.44 | $437.83 | |
Cigna
| Professional | $225.09 | $336.36 | $592.84 | |
Medica
| Facility | $123.69 | $188.65 | $371.07 | |
Medica
| Professional | $192.00 | $333.49 | $1,412.72 | |
United
| Professional | $189.40 | $297.37 | $407.16 |