| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $120.09 | $179.64 | $8,500.00 | |
Aetna
| Professional | $114.45 | $160.71 | $189.94 | |
BCBS
| Professional | $235.39 | $345.27 | $418.50 | |
Cigna
| Professional | $220.04 | $321.39 | $566.47 | |
Medica
| Facility | $120.09 | $179.64 | $360.27 | |
Medica
| Professional | $182.61 | $329.55 | $1,347.84 | |
United
| Professional | $180.19 | $265.70 | $387.72 |