| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $52.48 | $61.66 | $72.44 | |
Aetna
| Professional | $57.54 | $77.62 | $169.82 | |
BCBS
| Professional | $138.04 | $169.82 | $204.17 | |
Cigna
| Professional | $95.50 | $144.54 | $229.09 | |
Medica
| Facility | $61.66 | $79.43 | $134.90 | |
Medica
| Professional | $79.43 | $151.36 | $263.03 | |
United
| Professional | $64.57 | $123.03 | $177.83 |