| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $168.77 | $730.33 | $8,500.00 | |
Aetna
| Professional | $164.22 | $634.73 | $881.70 | |
BCBS
| Professional | $334.68 | $1,059.52 | $1,346.77 | |
Cigna
| Professional | $235.55 | $394.10 | $1,459.95 | |
Medica
| Facility | $168.77 | $730.33 | $1,241.56 | |
Medica
| Professional | $802.75 | $1,576.27 | $1,915.46 | |
United
| Professional | $957.26 | $1,576.27 | $1,915.46 |