| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $112.20 | $112.20 | $112.20 | |
Aetna
| Professional | $79.43 | $97.72 | $144.54 | |
BCBS
| Professional | $138.04 | $162.18 | $169.82 | |
Cigna
| Professional | $173.78 | $173.78 | $218.78 | |
Medica
| Facility | $93.33 | $144.54 | $724.44 | |
Medica
| Professional | $64.57 | $75.86 | $154.88 | |
United
| Facility | $9.33 | $69.18 | $93.33 | |
United
| Professional | $56.23 | $104.71 | $173.78 |