| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $129.94 | $129.94 | $8,500.00 | |
Aetna
| Professional | $129.94 | $129.94 | $134.55 | |
BCBS
| Professional | $256.70 | $279.72 | $329.08 | |
Cigna
| Professional | $179.57 | $232.65 | $375.54 | |
Medica
| Facility | $129.94 | $178.59 | $389.85 | |
Medica
| Professional | $141.47 | $251.54 | $332.04 | |
United
| Professional | $147.36 | $251.54 | $311.70 |