| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $135.28 | $135.28 | $347.85 | |
Aetna
| Professional | $135.28 | $181.66 | $181.66 | |
BCBS
| Professional | $290.89 | $389.40 | $434.81 | |
Cigna
| Professional | $221.78 | $221.78 | $325.58 | |
Medica
| Facility | $115.95 | $146.87 | $347.85 | |
Medica
| Professional | $101.27 | $235.81 | $386.50 | |
United
| Professional | $81.17 | $197.12 | $328.53 |