| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $124.08 | $124.08 | $319.05 | |
Aetna
| Professional | $124.08 | $166.62 | $166.62 | |
BCBS
| Professional | $266.81 | $357.16 | $398.81 | |
Cigna
| Professional | $203.61 | $203.61 | $298.91 | |
Medica
| Facility | $106.35 | $138.26 | $319.05 | |
Medica
| Professional | $106.35 | $257.01 | $354.50 | |
United
| Professional | $74.45 | $212.70 | $303.93 |