| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $104.48 | $341.58 | $8,500.00 | |
Aetna
| Professional | $90.67 | $232.06 | $576.85 | |
BCBS
| Professional | $209.75 | $509.70 | $867.50 | |
Cigna
| Professional | $149.30 | $312.24 | $921.66 | |
Medica
| Facility | $104.48 | $334.28 | $580.69 | |
Medica
| Professional | $298.57 | $542.86 | $894.59 | |
United
| Professional | $298.57 | $615.78 | $894.59 |