| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $94.27 | $144.44 | $2,000.00 | |
Aetna
| Professional | $86.44 | $144.74 | $475.32 | |
BCBS
| Professional | $184.76 | $238.33 | $378.26 | |
Cigna
| Professional | $135.68 | $248.08 | $391.55 | |
Medica
| Facility | $94.27 | $145.03 | $280.35 | |
Medica
| Professional | $147.60 | $257.87 | $695.12 | |
United
| Facility | $125.00 | $125.00 | $125.00 | |
United
| Professional | $140.97 | $235.17 | $376.82 |