| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $245.46 | $245.46 | $8,500.00 | |
Aetna
| Professional | $230.77 | $245.46 | $380.40 | |
BCBS
| Professional | $479.31 | $522.11 | $625.89 | |
Cigna
| Professional | $304.89 | $577.53 | $745.80 | |
Medica
| Facility | $245.46 | $346.71 | $736.38 | |
Medica
| Professional | $256.24 | $466.96 | $635.41 | |
United
| Professional | $256.24 | $497.36 | $635.41 |