| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $70.86 | $126.07 | $8,500.00 | |
Aetna
| Professional | $68.87 | $124.12 | $242.53 | |
BCBS
| Professional | $167.67 | $216.99 | $430.03 | |
Cigna
| Professional | $124.08 | $258.76 | $458.60 | |
Medica
| Facility | $70.86 | $214.32 | $1,632.65 | |
Medica
| Professional | $128.12 | $238.57 | $329.90 | |
United
| Professional | $139.76 | $272.10 | $476.54 |