| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $166.08 | $166.08 | $166.08 | |
Aetna
| Professional | $159.93 | $166.08 | $181.65 | |
BCBS
| Professional | $307.56 | $307.56 | $307.56 | |
Cigna
| Facility | $312.30 | $312.30 | $312.30 | |
Cigna
| Professional | $227.98 | $312.30 | $312.30 | |
Medica
| Facility | $94.35 | $174.38 | $1,271.08 | |
Medica
| Professional | $139.99 | $230.56 | $415.21 | |
United
| Professional | $139.99 | $226.48 | $329.43 |