| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $249.77 | $249.77 | $8,500.00 | |
Aetna
| Professional | $230.93 | $249.77 | $249.77 | |
BCBS
| Professional | $490.25 | $540.41 | $646.27 | |
Cigna
| Professional | $311.93 | $592.23 | $764.78 | |
Medica
| Facility | $249.77 | $354.50 | $749.31 | |
Medica
| Professional | $269.45 | $459.95 | $646.62 | |
United
| Professional | $261.29 | $489.90 | $646.62 |