| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $68.40 | $133.77 | $2,500.00 | |
Aetna
| Professional | $130.96 | $272.36 | $385.54 | |
BCBS
| Professional | $255.12 | $526.27 | $677.65 | |
Cigna
| Professional | $189.15 | $395.58 | $859.72 | |
Medica
| Facility | $133.77 | $272.36 | $817.08 | |
Medica
| Professional | $300.05 | $512.19 | $712.72 | |
United
| Professional | $276.45 | $545.54 | $713.71 |