| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $109.78 | $360.67 | $637.14 | |
Aetna
| Professional | $50.73 | $100.07 | $251.10 | |
BCBS
| Professional | $109.80 | $210.13 | $260.69 | |
Cigna
| Professional | $99.99 | $169.28 | $344.94 | |
Medica
| Facility | $54.92 | $164.76 | $340.09 | |
Medica
| Professional | $113.68 | $201.39 | $918.11 | |
United
| Professional | $113.68 | $176.64 | $285.75 |