| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $71.37 | $71.37 | $105.19 | |
Aetna
| Professional | $68.73 | $70.04 | $86.81 | |
BCBS
| Professional | $132.16 | $132.16 | $132.16 | |
Cigna
| Facility | $117.36 | $117.36 | $126.78 | |
Cigna
| Professional | $85.67 | $117.36 | $126.78 | |
Medica
| Facility | $48.61 | $93.58 | $791.34 | |
Medica
| Professional | $50.20 | $75.31 | $149.29 | |
United
| Professional | $50.20 | $71.95 | $108.03 |