| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $170.09 | $265.37 | $8,500.00 | |
Aetna
| Professional | $162.78 | $256.89 | $307.77 | |
BCBS
| Professional | $326.79 | $423.17 | $642.99 | |
Cigna
| Professional | $202.97 | $459.65 | $810.14 | |
Medica
| Facility | $170.09 | $265.37 | $2,523.96 | |
Medica
| Professional | $267.77 | $511.82 | $696.88 | |
United
| Professional | $299.83 | $545.14 | $696.88 |