| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $79.01 | $90.32 | $106.26 | |
Aetna
| Professional | $67.37 | $88.31 | $110.71 | |
Aetna
| Professional | 25 | $20.57 | $101.95 | $101.95 |
BCBS
| Professional | $117.80 | $138.59 | $138.59 | |
Cigna
| Professional | $79.02 | $138.00 | $228.22 | |
Medica
| Facility | $96.65 | $112.41 | $423.00 | |
Medica
| Professional | $81.27 | $93.15 | $133.54 | |
United
| Facility | $121.62 | $121.62 | $121.62 | |
United
| Professional | $81.27 | $93.15 | $143.43 |