| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $51.38 | $78.45 | $8,500.00 | |
Aetna
| Professional | $46.25 | $68.38 | $82.73 | |
BCBS
| Professional | $102.08 | $159.12 | $196.36 | |
Cigna
| Professional | $85.59 | $150.85 | $253.17 | |
Medica
| Facility | $51.38 | $78.45 | $154.13 | |
Medica
| Professional | $79.22 | $143.47 | $1,070.26 | |
United
| Professional | $79.70 | $123.83 | $169.32 |