| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $110.37 | $141.77 | $8,500.00 | |
Aetna
| Professional | $103.89 | $136.03 | $242.87 | |
BCBS
| Professional | $226.19 | $284.37 | $361.53 | |
Cigna
| Professional | $170.99 | $286.08 | $463.09 | |
Medica
| Facility | $110.37 | $163.40 | $331.11 | |
Medica
| Professional | $144.00 | $267.43 | $371.01 | |
United
| Professional | $144.00 | $284.83 | $371.01 |