| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $213.85 | $213.85 | $213.85 | |
Aetna
| Professional | $156.65 | $156.65 | $213.85 | |
BCBS
| Professional | $274.82 | $324.94 | $333.02 | |
Cigna
| Professional | $344.63 | $348.07 | $437.67 | |
Medica
| Facility | $127.58 | $213.85 | $1,353.88 | |
Medica
| Professional | $117.10 | $144.47 | $234.19 | |
United
| Professional | $86.76 | $144.47 | $234.19 |