| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $65.94 | $72.47 | $106.05 | |
BCBS
| Professional | $109.68 | $129.03 | $129.03 | |
Cigna
| Professional | $60.00 | $107.87 | $144.34 | |
Medica
| Facility | $59.70 | $78.70 | $111.49 | |
Medica
| Professional | $70.73 | $91.17 | $545.41 | |
United
| Professional | $70.73 | $89.45 | $108.89 |