| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $101.69 | $248.57 | $8,500.00 | |
Aetna
| Professional | $94.02 | $227.12 | $415.38 | |
BCBS
| Professional | $190.68 | $352.76 | $595.11 | |
Cigna
| Professional | $141.22 | $296.07 | $757.40 | |
Medica
| Facility | $101.69 | $305.07 | $802.08 | |
Medica
| Professional | $266.01 | $456.00 | $651.44 | |
United
| Professional | $266.01 | $483.66 | $667.51 |