| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $31.82 | $41.00 | $378.05 | |
BCBS
| Professional | $160.00 | $190.40 | $268.80 | |
Cigna
| Professional | $200.00 | $280.00 | $380.84 | |
Medica
| Facility | $35.00 | $104.00 | $3,395.00 | |
Medica
| Professional | $38.00 | $55.00 | $1,126.40 | |
United
| Professional | $34.00 | $45.00 | $75.00 |