| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $139.97 | $139.97 | $146.88 | |
Aetna
| Professional | $77.30 | $144.72 | $174.43 | |
BCBS
| Professional | $212.04 | $277.29 | $326.22 | |
Cigna
| Professional | $161.63 | $163.24 | $205.26 | |
Medica
| Facility | $77.30 | $139.97 | $247.01 | |
Medica
| Professional | $184.38 | $283.30 | $935.43 | |
United
| Professional | $141.83 | $256.77 | $286.02 |