| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $107.66 | $107.66 | $107.66 | |
Aetna
| Professional | $86.33 | $107.66 | $130.72 | |
BCBS
| Professional | $176.55 | $204.49 | $240.58 | |
Cigna
| Professional | $114.00 | $115.14 | $144.78 | |
Medica
| Facility | $98.41 | $107.66 | $147.62 | |
Medica
| Professional | $110.07 | $202.18 | $661.36 | |
United
| Professional | $110.07 | $194.82 | $268.07 |