| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $100.00 | $251.19 | $8,511.38 | |
Aetna
| Professional | $89.13 | $218.78 | $354.81 | |
BCBS
| Professional | $204.17 | $295.12 | $645.65 | |
Cigna
| Professional | $154.88 | $281.84 | $724.44 | |
Medica
| Facility | $100.00 | $251.19 | $467.74 | |
Medica
| Professional | $251.19 | $426.58 | $1,023.29 | |
United
| Facility | $1,698.24 | $1,819.70 | $2,041.74 | |
United
| Professional | $114.82 | $251.19 | $562.34 |