| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $180.30 | $384.56 | $8,500.00 | |
Aetna
| Professional | $162.71 | $319.10 | $395.15 | |
BCBS
| Professional | $342.57 | $443.34 | $914.35 | |
Cigna
| Professional | $330.02 | $567.66 | $1,046.19 | |
Medica
| Facility | $180.30 | $384.56 | $653.75 | |
Medica
| Professional | $383.47 | $670.64 | $1,491.95 | |
United
| Professional | $383.47 | $613.47 | $830.00 |