| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $133.01 | $261.13 | $2,500.00 | |
Aetna
| Professional | $121.84 | $229.81 | $336.38 | |
BCBS
| Professional | $268.93 | $391.62 | $671.05 | |
Cigna
| Professional | $186.37 | $352.22 | $694.10 | |
Medica
| Facility | $133.01 | $261.13 | $483.09 | |
Medica
| Professional | $247.63 | $483.52 | $1,959.28 | |
United
| Facility | $681.00 | $681.00 | $681.00 | |
United
| Professional | $221.18 | $447.96 | $682.90 |