| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $99.87 | $165.19 | $2,000.00 | |
Aetna
| Professional | $96.59 | $142.30 | $176.24 | |
BCBS
| Professional | $194.63 | $251.88 | $403.71 | |
Cigna
| Professional | $159.16 | $296.42 | $416.58 | |
Medica
| Facility | $99.87 | $165.19 | $280.82 | |
Medica
| Professional | $168.54 | $303.04 | $740.00 | |
United
| Professional | $168.54 | $300.39 | $370.79 |