| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $333.02 | $333.02 | $8,500.00 | |
Aetna
| Professional | $306.83 | $333.02 | $366.26 | |
BCBS
| Professional | $654.29 | $719.39 | $862.40 | |
Cigna
| Professional | $414.94 | $788.28 | $1,017.95 | |
Medica
| Facility | $333.02 | $472.83 | $999.06 | |
Medica
| Professional | $357.24 | $610.92 | $862.22 | |
United
| Professional | $348.26 | $649.52 | $862.22 |