| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $84.36 | $501.56 | $8,500.00 | |
Aetna
| Professional | $77.83 | $397.13 | $1,384.20 | |
BCBS
| Professional | $158.46 | $545.12 | $939.72 | |
Cigna
| Professional | $117.02 | $244.73 | $1,181.46 | |
Medica
| Facility | $84.36 | $501.56 | $1,309.95 | |
Medica
| Professional | $611.97 | $1,082.52 | $1,319.22 | |
United
| Professional | $611.97 | $1,082.52 | $1,319.22 |