| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $68.68 | $272.24 | $272.24 | |
Aetna
| Professional | $68.68 | $75.23 | $92.22 | |
BCBS
| Professional | $163.10 | $197.69 | $221.85 | |
Cigna
| Professional | $112.75 | $113.88 | $143.19 | |
Medica
| Facility | $69.66 | $147.16 | $454.40 | |
Medica
| Professional | $41.21 | $90.64 | $166.79 | |
United
| Professional | $41.21 | $98.11 | $137.35 |