| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $55.30 | $55.30 | $142.19 | |
Aetna
| Professional | $55.30 | $55.30 | $55.30 | |
BCBS
| Professional | $118.91 | $159.19 | $177.75 | |
Cigna
| Professional | $82.50 | $82.50 | $103.13 | |
Medica
| Facility | $47.40 | $60.04 | $142.19 | |
Medica
| Professional | $40.29 | $94.80 | $158.00 | |
United
| Professional | $33.18 | $82.95 | $114.55 |