| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $190.72 | $190.72 | $190.72 | |
Aetna
| Professional | $87.44 | $141.53 | $190.72 | |
BCBS
| Professional | $203.44 | $203.44 | $203.44 | |
Cigna
| Facility | $130.68 | $130.68 | $130.68 | |
Cigna
| Professional | $130.68 | $130.68 | $301.88 | |
Medica
| Facility | $133.96 | $178.54 | $937.40 | |
Medica
| Professional | $64.42 | $106.71 | $179.67 | |
United
| Professional | $71.14 | $106.71 | $179.67 |