| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $114.82 | $125.89 | $8,511.38 | |
Aetna
| Professional | $114.82 | $141.25 | $263.03 | |
BCBS
| Professional | $229.09 | $281.84 | $331.13 | |
Cigna
| Professional | $151.36 | $229.09 | $346.74 | |
Medica
| Facility | $125.89 | $173.78 | $275.42 | |
Medica
| Professional | $117.49 | $204.17 | $512.86 | |
United
| Facility | $125.89 | $1,819.70 | $2,041.74 | |
United
| Professional | $114.82 | $177.83 | $288.40 |