| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $202.64 | $202.64 | $8,500.00 | |
Aetna
| Professional | $178.65 | $191.77 | $260.18 | |
BCBS
| Professional | $416.22 | $457.86 | $536.86 | |
Cigna
| Professional | $244.13 | $472.58 | $629.48 | |
Medica
| Facility | $202.64 | $294.20 | $381.37 | |
Medica
| Professional | $221.23 | $385.09 | $518.05 | |
United
| Professional | $221.23 | $377.27 | $518.05 |