| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $87.33 | $290.51 | $8,500.00 | |
Aetna
| Professional | $87.33 | $287.98 | $290.51 | |
BCBS
| Professional | $173.59 | $224.65 | $567.02 | |
Cigna
| Professional | $114.36 | $269.77 | $644.54 | |
Medica
| Facility | $87.33 | $290.51 | $493.87 | |
Medica
| Professional | $297.02 | $532.94 | $759.98 | |
United
| Professional | $309.17 | $548.60 | $759.98 |