| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $208.79 | $208.79 | $8,500.00 | |
Aetna
| Professional | $204.31 | $208.79 | $208.79 | |
BCBS
| Professional | $377.01 | $412.89 | $494.96 | |
Cigna
| Professional | $284.99 | $461.53 | $596.00 | |
Medica
| Facility | $208.79 | $276.36 | $626.37 | |
Medica
| Professional | $229.78 | $392.24 | $541.92 | |
United
| Professional | $229.78 | $417.78 | $541.92 |