| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $57.54 | $67.61 | $93.33 | |
BCBS
| Professional | $46.77 | $56.23 | $66.07 | |
Cigna
| Professional | $61.66 | $97.72 | $165.96 | |
Medica
| Facility | $63.10 | $75.86 | $154.88 | |
Medica
| Professional | $69.18 | $109.65 | $575.44 | |
United
| Professional | $61.66 | $91.20 | $128.82 |