| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $99.38 | $99.38 | $99.38 | |
Aetna
| Professional | $98.19 | $103.46 | $183.88 | |
BCBS
| Professional | $119.35 | $129.44 | $163.88 | |
Cigna
| Professional | $115.14 | $156.44 | $196.47 | |
Medica
| Facility | $98.19 | $122.76 | $230.90 | |
Medica
| Professional | $107.98 | $140.91 | $1,082.00 | |
United
| Facility | $125.56 | $267.20 | $267.20 | |
United
| Professional | $104.07 | $127.04 | $178.64 |