| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $127.55 | $127.55 | $127.55 | |
Aetna
| Professional | $127.54 | $127.54 | $127.55 | |
BCBS
| Professional | $109.70 | $129.51 | $131.37 | |
Cigna
| Professional | $114.38 | $115.52 | $142.97 | |
Medica
| Facility | $93.65 | $127.55 | $382.65 | |
Medica
| Professional | $130.38 | $132.07 | $134.99 | |
United
| Professional | $120.06 | $132.07 | $135.66 |