| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $192.38 | $361.23 | $558.16 | |
Aetna
| Professional | $131.11 | $152.08 | $187.05 | |
BCBS
| Professional | $178.31 | $178.31 | $178.31 | |
Cigna
| Facility | $154.54 | $286.35 | $396.49 | |
Medica
| Facility | $139.85 | $174.81 | $235.18 | |
Medica
| Professional | $73.42 | $104.89 | $874.05 | |
United
| Facility | $174.81 | $174.81 | $218.51 | |
United
| Professional | $73.42 | $104.89 | $262.22 |