| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $76.98 | $76.98 | $110.92 | |
Aetna
| Professional | $61.24 | $102.17 | $276.79 | |
BCBS
| Professional | $149.66 | $193.70 | $278.18 | |
Cigna
| Professional | $99.36 | $184.02 | $315.81 | |
Medica
| Facility | $65.44 | $110.92 | $188.73 | |
Medica
| Professional | $112.68 | $206.83 | $685.73 | |
United
| Professional | $101.76 | $203.48 | $289.52 |