| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $101.48 | $101.48 | $8,500.00 | |
Aetna
| Professional | $97.34 | $101.48 | $101.48 | |
BCBS
| Professional | $212.31 | $230.40 | $276.20 | |
Cigna
| Professional | $129.94 | $236.89 | $305.91 | |
Medica
| Facility | $101.48 | $145.19 | $304.44 | |
Medica
| Professional | $100.91 | $168.18 | $259.20 | |
United
| Professional | $108.25 | $170.89 | $259.20 |