| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $45.65 | $47.33 | $111.90 | |
BCBS
| Professional | $90.46 | $107.72 | $247.65 | |
Cigna
| Professional | $30.23 | $87.21 | $249.79 | |
Medica
| Facility | $45.65 | $86.37 | $449.49 | |
Medica
| Professional | $87.42 | $152.36 | $638.98 | |
United
| Professional | $40.00 | $122.34 | $204.43 |