| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $194.22 | $194.22 | $8,500.00 | |
Aetna
| Professional | $176.77 | $188.36 | $229.01 | |
BCBS
| Professional | $409.49 | $451.35 | $529.22 | |
Cigna
| Professional | $237.62 | $449.80 | $599.13 | |
Medica
| Facility | $194.22 | $285.31 | $360.96 | |
Medica
| Professional | $216.90 | $356.77 | $493.29 | |
United
| Professional | $216.90 | $367.63 | $419.19 |