| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $122.37 | $122.37 | $314.66 | |
Aetna
| Professional | $122.37 | $164.32 | $164.32 | |
BCBS
| Professional | $263.14 | $352.24 | $393.32 | |
Cigna
| Professional | $200.72 | $200.72 | $294.66 | |
Medica
| Facility | $104.89 | $132.86 | $314.66 | |
Medica
| Professional | $89.15 | $209.77 | $349.62 | |
United
| Professional | $73.42 | $207.60 | $253.47 |