| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $192.97 | $192.97 | $8,500.00 | |
Aetna
| Professional | $181.06 | $192.97 | $228.08 | |
BCBS
| Professional | $407.67 | $448.46 | $525.84 | |
Cigna
| Professional | $247.63 | $447.27 | $595.76 | |
Medica
| Facility | $192.97 | $299.22 | $360.58 | |
Medica
| Professional | $215.45 | $370.35 | $490.14 | |
United
| Professional | $215.45 | $355.01 | $473.99 |