| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $121.49 | $121.49 | $121.49 | |
Aetna
| Professional | $116.99 | $121.49 | $134.74 | |
BCBS
| Professional | $224.98 | $224.98 | $224.98 | |
Cigna
| Facility | $211.82 | $211.82 | $211.82 | |
Cigna
| Professional | $154.63 | $211.82 | $211.82 | |
Medica
| Facility | $69.56 | $127.56 | $943.35 | |
Medica
| Professional | $102.68 | $166.06 | $299.05 | |
United
| Professional | $102.68 | $157.06 | $241.63 |