| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $74.33 | $74.33 | $74.33 | |
Aetna
| Professional | $58.03 | $64.45 | $74.33 | |
BCBS
| Professional | $80.53 | $97.78 | $115.04 | |
Cigna
| Professional | $66.06 | $66.06 | $107.72 | |
Medica
| Facility | $59.17 | $67.68 | $93.13 | |
Medica
| Professional | $77.72 | $93.48 | $472.20 | |
United
| Professional | $74.16 | $83.00 | $118.20 |