| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $179.86 | $547.25 | $2,000.00 | |
Aetna
| Professional | $167.21 | $442.50 | $678.74 | |
BCBS
| Professional | $364.27 | $516.84 | $1,396.91 | |
Cigna
| Professional | $250.08 | $560.51 | $1,483.96 | |
Medica
| Facility | $179.86 | $547.25 | $1,012.41 | |
Medica
| Professional | $529.26 | $1,008.40 | $4,108.64 | |
United
| Facility | $1,530.00 | $1,530.00 | $5,320.62 | |
United
| Professional | $500.31 | $961.82 | $1,435.17 |