| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $42.66 | $117.49 | $354.81 | |
Aetna
| Professional | $42.66 | $57.54 | $77.62 | |
BCBS
| Professional | $85.11 | $125.89 | $147.91 | |
Cigna
| Professional | $75.86 | $75.86 | $93.33 | |
Medica
| Facility | $43.65 | $77.62 | $354.81 | |
Medica
| Professional | $27.54 | $89.13 | $131.83 | |
United
| Professional | $27.54 | $72.44 | $112.20 |