| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $131.76 | $1,216.40 | $2,500.00 | |
Aetna
| Facility | 52 | $65.88 | $65.88 | $121.82 |
Aetna
| Professional | $130.34 | $243.64 | $328.82 | |
BCBS
| Professional | $256.43 | $331.87 | $617.40 | |
Cigna
| Professional | $211.27 | $375.27 | $784.83 | |
Medica
| Facility | $131.76 | $243.64 | $461.46 | |
Medica
| Professional | $265.80 | $453.74 | $636.45 | |
United
| Professional | $265.80 | $483.28 | $636.45 |