| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $164.60 | $164.60 | $164.60 | |
Aetna
| Professional | $164.59 | $164.59 | $164.60 | |
BCBS
| Professional | $143.11 | $168.96 | $171.38 | |
Cigna
| Professional | $150.75 | $152.26 | $188.44 | |
Medica
| Facility | $164.60 | $164.60 | $493.80 | |
Medica
| Professional | $170.18 | $172.37 | $187.09 | |
United
| Professional | $156.69 | $172.37 | $177.07 |