| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $36.78 | $330.89 | $396.92 | |
Aetna
| Professional | $22.14 | $69.62 | $166.31 | |
BCBS
| Professional | $69.04 | $89.35 | $231.29 | |
Cigna
| Professional | $64.94 | $113.96 | $266.42 | |
Medica
| Facility | $36.78 | $97.77 | $196.39 | |
Medica
| Professional | $62.41 | $97.77 | $651.16 | |
United
| Professional | $64.70 | $84.06 | $98.89 |