| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $167.17 | $355.56 | $2,000.00 | |
Aetna
| Professional | $147.37 | $268.85 | $355.56 | |
BCBS
| Professional | $316.93 | $410.16 | $817.33 | |
Cigna
| Professional | $264.51 | $492.63 | $1,016.90 | |
Medica
| Facility | $167.17 | $355.56 | $561.46 | |
Medica
| Professional | $362.45 | $604.08 | $1,237.61 | |
United
| Professional | $362.45 | $604.08 | $803.51 |