| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $256.02 | $256.02 | $256.02 | |
Aetna
| Professional | $143.10 | $256.02 | $349.07 | |
BCBS
| Professional | $22.82 | $42.67 | $42.67 | |
Cigna
| Professional | $66.81 | $66.81 | $66.81 | |
Medica
| Facility | $22.70 | $80.00 | $336.03 | |
Medica
| Professional | $15.45 | $21.03 | $32.96 | |
United
| Professional | $15.45 | $23.15 | $31.79 |