| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $165.28 | $402.39 | $8,500.00 | |
Aetna
| Professional | $154.82 | $381.47 | $402.39 | |
BCBS
| Professional | $324.81 | $420.37 | $917.67 | |
Cigna
| Professional | $237.57 | $496.85 | $1,132.94 | |
Medica
| Facility | $165.28 | $402.39 | $684.06 | |
Medica
| Professional | $408.90 | $738.18 | $1,053.68 | |
United
| Professional | $444.28 | $740.46 | $1,053.68 |