| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $91.77 | $442.56 | $8,500.00 | |
Aetna
| Professional | $91.77 | $429.93 | $975.13 | |
BCBS
| Professional | $157.80 | $204.23 | $846.27 | |
Cigna
| Professional | $113.99 | $238.40 | $1,161.42 | |
Medica
| Facility | $91.77 | $442.56 | $752.35 | |
Medica
| Professional | $445.35 | $811.88 | $1,163.53 | |
United
| Professional | $466.92 | $848.94 | $1,163.53 |