| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $128.37 | $128.37 | $128.37 | |
Aetna
| Professional | $110.26 | $128.37 | $130.85 | |
BCBS
| Professional | $164.99 | $195.07 | $199.92 | |
Cigna
| Professional | $218.25 | $220.43 | $277.18 | |
Medica
| Facility | $98.37 | $130.85 | $928.37 | |
Medica
| Professional | $70.30 | $97.73 | $146.71 | |
United
| Professional | $58.68 | $97.73 | $188.31 |