| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $104.04 | $130.69 | $163.72 | |
Aetna
| Professional | $105.31 | $131.87 | $155.15 | |
BCBS
| Professional | $128.44 | $130.43 | $176.38 | |
Cigna
| Professional | $119.31 | $146.46 | $205.74 | |
Medica
| Facility | $141.65 | $181.51 | $330.02 | |
Medica
| Professional | $109.42 | $127.95 | $170.98 | |
United
| Professional | $109.42 | $132.29 | $170.98 |