| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $59.71 | $59.71 | $121.12 | |
Aetna
| Professional | $38.67 | $49.65 | $109.89 | |
Aetna
| Professional | CQ | $37.27 | $37.27 | $37.27 |
BCBS
| Professional | $132.40 | $150.66 | $177.26 | |
Cigna
| Professional | $59.46 | $74.31 | $92.55 | |
Medica
| Facility | $41.66 | $63.24 | $153.53 | |
Medica
| Professional | $46.32 | $59.96 | $140.63 | |
United
| Professional | $46.32 | $59.96 | $96.99 |