| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $102.21 | $275.80 | $8,500.00 | |
Aetna
| Professional | $92.84 | $250.81 | $322.20 | |
BCBS
| Professional | $192.66 | $249.33 | $638.03 | |
Cigna
| Professional | $141.74 | $310.89 | $805.92 | |
Medica
| Facility | $102.21 | $275.80 | $468.86 | |
Medica
| Professional | $300.22 | $512.49 | $722.92 | |
United
| Facility | $1,978.00 | $1,978.00 | $1,978.00 | |
United
| Professional | $300.22 | $545.86 | $722.92 |