| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $145.29 | $221.80 | $8,500.00 | |
Aetna
| Professional | $137.18 | $205.10 | $262.44 | |
BCBS
| Professional | $287.33 | $371.87 | $537.98 | |
Cigna
| Professional | $212.35 | $408.10 | $688.83 | |
Medica
| Facility | $145.29 | $221.80 | $435.87 | |
Medica
| Professional | $242.91 | $414.66 | $578.71 | |
United
| Professional | $253.06 | $441.66 | $578.71 |