| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $183.12 | $362.45 | $560.04 | |
Aetna
| Professional | $131.55 | $152.60 | $187.68 | |
BCBS
| Professional | $219.25 | $219.25 | $219.25 | |
Cigna
| Facility | $142.63 | $287.31 | $398.03 | |
Cigna
| Professional | $81.34 | $167.61 | $331.99 | |
Medica
| Facility | $116.64 | $175.40 | $235.97 | |
Medica
| Professional | $73.67 | $105.24 | $877.00 | |
United
| Professional | $78.93 | $105.24 | $263.10 |