| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $208.45 | $208.45 | $212.78 | |
Aetna
| Professional | $156.94 | $212.78 | $316.66 | |
BCBS
| Professional | $391.17 | $479.61 | $525.38 | |
Cigna
| Professional | $235.98 | $436.28 | $656.08 | |
Medica
| Facility | $208.45 | $294.02 | $411.55 | |
Medica
| Professional | $233.44 | $424.44 | $1,299.72 | |
United
| Professional | $233.44 | $390.34 | $501.49 |