| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $100.95 | $251.81 | $2,000.00 | |
Aetna
| Professional | $87.70 | $190.92 | $275.01 | |
BCBS
| Professional | $209.75 | $389.16 | $670.86 | |
Cigna
| Professional | $162.62 | $346.22 | $708.01 | |
Medica
| Facility | $100.95 | $251.81 | $460.85 | |
Medica
| Professional | $255.15 | $450.46 | $1,025.65 | |
United
| Professional | $255.15 | $450.46 | $561.33 |