| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $85.11 | $89.13 | $190.55 | |
Aetna
| Professional | $81.28 | $104.71 | $288.40 | |
BCBS
| Professional | $194.98 | $263.03 | $263.03 | |
Cigna
| Professional | $104.71 | $104.71 | $134.90 | |
Medica
| Facility | $85.11 | $85.11 | $257.04 | |
United
| Professional | $16.22 | $28.18 | $33.11 |