| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $162.19 | $162.19 | $162.19 | |
Aetna
| Professional | $135.78 | $142.51 | $162.19 | |
BCBS
| Professional | $230.66 | $230.66 | $271.37 | |
Cigna
| Professional | $141.06 | $141.06 | $229.98 | |
Medica
| Facility | $128.29 | $147.51 | $221.43 | |
Medica
| Professional | $183.43 | $221.54 | $1,105.55 | |
United
| Professional | $176.57 | $198.10 | $281.26 |