| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $134.12 | $711.92 | $2,500.00 | |
Aetna
| Professional | $120.73 | $597.91 | $817.25 | |
BCBS
| Professional | $255.12 | $896.89 | $1,546.12 | |
Cigna
| Professional | $186.63 | $415.91 | $1,629.47 | |
Medica
| Facility | $134.12 | $622.78 | $1,699.35 | |
Medica
| Professional | $716.38 | $1,312.47 | $2,377.16 | |
United
| Facility | $1,980.00 | $1,980.00 | $6,846.86 | |
United
| Professional | $592.51 | $1,162.78 | $1,872.05 |