| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $121.14 | $1,202.03 | $2,500.00 | |
Aetna
| Professional | $109.40 | $697.25 | $1,551.32 | |
BCBS
| Professional | $232.76 | $318.25 | $3,048.99 | |
Cigna
| Professional | $160.57 | $1,247.61 | $3,270.07 | |
Medica
| Facility | $121.14 | $1,021.73 | $2,085.26 | |
Medica
| Professional | $1,106.89 | $1,871.51 | $4,583.34 | |
United
| Facility | $450.00 | $450.00 | $450.00 | |
United
| Professional | $1,092.75 | $1,871.51 | $3,165.50 |