| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $56.01 | $133.69 | $156.47 | |
BCBS
| Professional | $157.59 | $191.36 | $225.13 | |
Cigna
| Professional | $102.38 | $128.26 | $209.12 | |
Medica
| Facility | $66.17 | $137.63 | $170.53 | |
Medica
| Professional | $156.01 | $210.28 | $935.43 | |
United
| Professional | $145.85 | $182.82 | $278.12 |