| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $88.13 | $88.13 | $88.13 | |
Aetna
| Professional | $88.13 | $102.93 | $118.32 | |
BCBS
| Professional | $112.51 | $136.62 | $160.72 | |
Cigna
| Professional | $92.55 | $92.55 | $150.90 | |
Medica
| Facility | $85.13 | $103.57 | $127.22 | |
Medica
| Professional | $108.33 | $131.41 | $661.36 | |
United
| Professional | $104.57 | $121.08 | $166.29 |