| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $248.35 | $412.97 | $8,500.00 | |
Aetna
| Professional | $230.18 | $241.36 | $670.98 | |
Aetna
| Professional | AS | $16.22 | $16.85 | $63.86 |
BCBS
| Professional | $499.71 | $559.84 | $656.45 | |
Cigna
| Professional | $345.51 | $578.07 | $769.99 | |
Medica
| Facility | $248.35 | $312.95 | $486.07 | |
Medica
| Professional | $277.29 | $455.60 | $634.73 | |
United
| Professional | $271.39 | $453.74 | $536.01 |