| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $33.02 | $34.59 | $114.73 | |
BCBS
| Professional | $66.05 | $78.87 | $254.44 | |
Cigna
| Professional | $22.14 | $71.89 | $257.39 | |
Medica
| Facility | $33.02 | $84.51 | $203.45 | |
Medica
| Professional | $84.67 | $149.91 | $650.54 | |
United
| Professional | $83.71 | $121.81 | $188.26 |