| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $70.78 | $70.78 | $182.02 | |
Aetna
| Professional | $70.78 | $95.05 | $158.90 | |
BCBS
| Professional | $152.21 | $203.76 | $227.52 | |
Cigna
| Professional | $116.47 | $116.47 | $170.98 | |
Medica
| Facility | $60.67 | $76.84 | $182.02 | |
Medica
| Professional | $51.57 | $121.34 | $202.24 | |
United
| Professional | $42.47 | $103.14 | $171.90 |