| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $156.84 | $156.84 | $156.84 | |
Aetna
| Professional | $105.57 | $106.62 | $156.84 | |
BCBS
| Professional | $122.40 | $144.72 | $148.32 | |
Cigna
| Professional | $151.88 | $153.38 | $192.88 | |
Medica
| Facility | $47.06 | $130.91 | $580.79 | |
Medica
| Professional | $88.65 | $110.87 | $235.46 | |
United
| Professional | $53.85 | $107.55 | $235.46 |