| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $126.91 | $126.91 | $8,500.00 | |
Aetna
| Professional | $114.03 | $126.91 | $168.13 | |
BCBS
| Professional | $255.77 | $281.36 | $329.92 | |
Cigna
| Professional | $156.81 | $247.98 | $375.26 | |
Medica
| Facility | $125.00 | $164.98 | $275.64 | |
Medica
| Professional | $130.85 | $231.19 | $517.16 | |
United
| Facility | $125.00 | $125.00 | $125.00 | |
United
| Professional | $116.30 | $228.80 | $324.93 |