| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $125.46 | $164.80 | $8,500.00 | |
Aetna
| Professional | $117.40 | $135.90 | $256.33 | |
BCBS
| Professional | $265.64 | $342.64 | $480.38 | |
Cigna
| Professional | $164.40 | $331.65 | $597.05 | |
Medica
| Facility | $125.46 | $190.40 | $376.38 | |
Medica
| Professional | $149.87 | $260.50 | $429.92 | |
United
| Professional | $156.30 | $352.06 | $429.92 |