| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $66.86 | $66.86 | $171.94 | |
Aetna
| Professional | $66.86 | $66.86 | $89.79 | |
BCBS
| Professional | $158.80 | $192.47 | $215.99 | |
Cigna
| Professional | $109.86 | $110.96 | $139.52 | |
Medica
| Facility | $66.86 | $113.66 | $453.72 | |
Medica
| Professional | $40.11 | $110.99 | $162.38 | |
United
| Professional | $40.11 | $56.48 | $138.50 |