| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $140.09 | $209.75 | $8,500.00 | |
Aetna
| Professional | $132.34 | $193.90 | $219.22 | |
BCBS
| Professional | $272.22 | $351.12 | $486.57 | |
Cigna
| Professional | $254.72 | $393.43 | $658.24 | |
Medica
| Facility | $140.09 | $209.75 | $420.27 | |
Medica
| Professional | $213.65 | $384.79 | $1,567.28 | |
United
| Professional | $210.88 | $256.38 | $452.70 |