| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $272.63 | $272.63 | $8,500.00 | |
Aetna
| Professional | $243.69 | $272.63 | $460.24 | |
BCBS
| Professional | $520.48 | $584.42 | $686.13 | |
Cigna
| Professional | $415.63 | $673.11 | $869.22 | |
Medica
| Facility | $272.63 | $327.10 | $817.89 | |
Medica
| Professional | $273.56 | $445.57 | $653.34 | |
United
| Professional | $273.56 | $484.20 | $653.34 |