| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $138.88 | $138.88 | $138.88 | |
Aetna
| Professional | $138.88 | $176.86 | $176.86 | |
BCBS
| Professional | $178.49 | $211.04 | $216.29 | |
Cigna
| Professional | $295.13 | $298.08 | $374.81 | |
Medica
| Facility | $88.59 | $166.51 | $980.51 | |
Medica
| Professional | $76.06 | $105.82 | $158.72 | |
United
| Professional | $74.56 | $111.11 | $254.53 |