| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $127.01 | $268.56 | $349.07 | |
BCBS
| Facility | $18.38 | $59.49 | $114.51 | |
Cigna
| Professional | $66.81 | $66.81 | $66.81 | |
Medica
| Facility | $33.67 | $167.31 | $413.60 | |
Medica
| Professional | $15.45 | $23.17 | $31.79 | |
United
| Professional | $15.45 | $23.17 | $31.79 |