| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $109.95 | $381.00 | $637.14 | |
Aetna
| Professional | $53.98 | $97.53 | $252.00 | |
BCBS
| Professional | $115.72 | $172.47 | $265.33 | |
Cigna
| Professional | $91.76 | $179.23 | $351.27 | |
Medica
| Facility | $71.16 | $227.83 | $343.90 | |
Medica
| Professional | $114.04 | $201.70 | $923.60 | |
United
| Professional | $114.04 | $179.78 | $286.01 |