| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $65.65 | $158.00 | $415.71 | |
Aetna
| Professional | $47.21 | $65.65 | $154.33 | |
BCBS
| Professional | $109.14 | $134.79 | $158.58 | |
Cigna
| Professional | $99.35 | $145.13 | $216.25 | |
Medica
| Facility | $54.10 | $79.37 | $162.30 | |
Medica
| Professional | $66.90 | $119.11 | $205.00 | |
United
| Professional | $66.77 | $106.62 | $141.69 |