| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $126.52 | $202.31 | $2,000.00 | |
Aetna
| Professional | $126.52 | $311.73 | $751.52 | |
BCBS
| Professional | $243.94 | $331.16 | $518.46 | |
Cigna
| Professional | $178.56 | $316.45 | $610.21 | |
Medica
| Facility | $126.52 | $205.58 | $379.56 | |
Medica
| Professional | $207.01 | $362.33 | $921.84 | |
United
| Facility | $681.00 | $681.00 | $681.00 | |
United
| Professional | $186.64 | $347.33 | $527.66 |