| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $118.13 | $118.13 | $303.75 | |
Aetna
| Professional | $118.13 | $158.63 | $158.63 | |
BCBS
| Professional | $254.02 | $340.03 | $379.69 | |
Cigna
| Professional | $194.11 | $194.11 | $284.95 | |
Medica
| Facility | $58.46 | $121.50 | $303.75 | |
Medica
| Professional | $86.06 | $202.50 | $337.50 | |
United
| Professional | $70.88 | $200.40 | $286.88 |