| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $178.76 | $178.76 | $8,500.00 | |
Aetna
| Professional | $178.76 | $178.76 | $184.37 | |
BCBS
| Professional | $348.64 | $376.05 | $444.31 | |
Cigna
| Professional | $245.14 | $317.60 | $512.66 | |
Medica
| Facility | $178.76 | $241.72 | $536.28 | |
Medica
| Professional | $199.75 | $351.27 | $457.66 | |
United
| Professional | $224.48 | $374.14 | $457.66 |