| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $131.43 | $307.91 | $8,500.00 | |
Aetna
| Professional | $134.97 | $307.91 | $445.56 | |
BCBS
| Professional | $258.41 | $412.81 | $635.09 | |
Cigna
| Professional | $178.56 | $373.43 | $835.46 | |
Medica
| Facility | $131.43 | $307.91 | $603.27 | |
Medica
| Professional | $321.20 | $564.86 | $802.47 | |
United
| Professional | $350.40 | $584.00 | $802.47 |