| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $149.40 | $241.68 | $654.20 | |
Aetna
| Professional | $109.03 | $122.97 | $172.06 | |
BCBS
| Facility | $113.00 | $429.12 | $679.79 | |
BCBS
| Professional | $107.58 | $156.47 | $757.95 | |
Cigna
| Facility | $132.97 | $287.74 | $479.57 | |
Medica
| Facility | $109.85 | $163.96 | $327.92 | |
Medica
| Professional | $68.86 | $85.02 | $819.80 | |
United
| Professional | $68.86 | $85.02 | $98.38 |