| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $183.22 | $183.22 | $8,500.00 | |
Aetna
| Professional | $161.18 | $172.70 | $200.63 | |
BCBS
| Professional | $376.76 | $414.46 | $485.97 | |
Cigna
| Professional | $235.81 | $427.86 | $569.91 | |
Medica
| Facility | $183.22 | $284.11 | $348.12 | |
Medica
| Professional | $199.58 | $347.95 | $468.66 | |
United
| Professional | $199.58 | $347.95 | $439.08 |