| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $41.27 | $56.79 | $975.04 | |
Aetna
| Professional | $39.11 | $60.66 | $123.01 | |
BCBS
| Professional | $89.31 | $100.41 | $143.60 | |
Cigna
| Professional | $57.50 | $100.90 | $159.56 | |
Medica
| Facility | $42.43 | $73.73 | $160.18 | |
Medica
| Professional | $64.31 | $122.57 | $693.25 | |
United
| Professional | $63.71 | $104.18 | $134.58 |