| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $76.98 | $76.98 | $106.22 | |
Aetna
| Professional | $61.24 | $106.22 | $254.70 | |
BCBS
| Professional | $149.66 | $190.48 | $265.45 | |
Cigna
| Professional | $98.26 | $184.02 | $301.27 | |
Medica
| Facility | $65.44 | $106.22 | $179.98 | |
Medica
| Professional | $108.00 | $209.56 | $464.35 | |
United
| Professional | $97.47 | $194.86 | $277.14 |