| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $87.32 | $153.72 | $8,500.00 | |
Aetna
| Professional | $78.14 | $128.68 | $153.72 | |
BCBS
| Professional | $171.62 | $221.36 | $318.70 | |
Cigna
| Professional | $118.29 | $196.72 | $329.12 | |
Medica
| Facility | $87.32 | $153.72 | $261.95 | |
Medica
| Professional | $154.99 | $281.80 | $398.88 | |
United
| Professional | $162.34 | $282.00 | $398.88 |