| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $91.18 | $91.18 | $120.95 | |
Aetna
| Professional | $89.30 | $93.08 | $103.28 | |
BCBS
| Professional | $62.38 | $73.75 | $90.97 | |
Cigna
| Facility | $60.00 | $68.00 | $85.00 | |
Cigna
| Professional | $70.58 | $111.10 | $159.53 | |
Medica
| Facility | $79.12 | $97.73 | $222.26 | |
Medica
| Professional | $75.20 | $96.17 | $616.10 | |
United
| Facility | $105.14 | $135.81 | $148.94 | |
United
| Professional | $75.59 | $95.17 | $174.47 |