| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $36.31 | $213.80 | $676.08 | |
BCBS
| Facility | $41.69 | $41.69 | $41.69 | |
BCBS
| Professional | $40.74 | $48.98 | $60.26 | |
Cigna
| Professional | $141.25 | $141.25 | $141.25 | |
Medica
| Facility | $54.95 | $501.19 | $741.31 | |
Medica
| Professional | $63.10 | $77.62 | $3,388.44 | |
United
| Professional | $63.10 | $72.44 | $141.25 |