| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $102.43 | $102.43 | $103.87 | |
Aetna
| Professional | $76.41 | $104.96 | $164.39 | |
BCBS
| Professional | $203.30 | $248.31 | $268.89 | |
Cigna
| Professional | $115.54 | $228.75 | $340.76 | |
Medica
| Facility | $103.87 | $152.00 | $212.66 | |
Medica
| Professional | $113.92 | $207.12 | $631.55 | |
United
| Professional | $106.10 | $186.07 | $245.99 |