| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $120.86 | $123.51 | $244.40 | |
Aetna
| Professional | $161.38 | $211.50 | $620.41 | |
Aetna
| Professional | 25 | $275.76 | $275.76 | $670.17 |
BCBS
| Professional | $320.17 | $464.73 | $638.07 | |
Cigna
| Professional | $312.08 | $478.27 | $683.72 | |
Medica
| Facility | $148.69 | $228.01 | $372.69 | |
Medica
| Professional | $254.00 | $461.82 | $1,741.13 | |
United
| Professional | $247.94 | $461.82 | $638.85 |