| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $124.06 | $124.06 | $124.06 | |
Aetna
| Professional | $106.36 | $123.89 | $332.10 | |
BCBS
| Professional | $234.08 | $275.39 | $302.94 | |
Cigna
| Professional | $132.53 | $245.68 | $342.55 | |
Medica
| Facility | $105.45 | $143.94 | $267.77 | |
Medica
| Professional | $127.04 | $227.59 | $1,082.00 | |
United
| Professional | $127.04 | $200.61 | $308.91 |