| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $74.78 | $144.80 | $8,500.00 | |
Aetna
| Professional | $67.45 | $120.03 | $258.83 | |
BCBS
| Professional | $149.26 | $193.17 | $382.16 | |
Cigna
| Professional | $121.78 | $224.96 | $470.47 | |
Medica
| Facility | $74.78 | $144.80 | $246.16 | |
Medica
| Professional | $148.33 | $254.96 | $378.23 | |
United
| Professional | $152.97 | $241.97 | $378.23 |