| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $127.23 | $127.23 | $8,500.00 | |
Aetna
| Professional | $104.79 | $111.41 | $134.71 | |
BCBS
| Professional | $264.98 | $291.49 | $341.79 | |
Cigna
| Professional | $164.31 | $328.28 | $437.27 | |
Medica
| Facility | $127.23 | $188.75 | $247.48 | |
Medica
| Professional | $132.81 | $219.34 | $330.14 | |
United
| Professional | $132.81 | $233.62 | $330.14 |