| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $168.00 | $619.85 | $8,500.00 | |
Aetna
| Facility | 53 | $33.60 | $33.60 | $123.97 |
Aetna
| Professional | $154.77 | $508.94 | $1,675.80 | |
BCBS
| Professional | $316.93 | $410.16 | $1,225.72 | |
Cigna
| Professional | $243.40 | $617.84 | $1,540.12 | |
Medica
| Facility | $168.00 | $1,053.75 | $2,015.00 | |
Medica
| Professional | $757.60 | $1,312.25 | $1,627.39 | |
United
| Professional | $768.72 | $1,390.24 | $1,627.39 |