| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $116.23 | $116.23 | $116.23 | |
Aetna
| Professional | $87.73 | $87.73 | $118.98 | |
BCBS
| Professional | $149.37 | $176.61 | $181.00 | |
Cigna
| Professional | $198.38 | $200.36 | $251.94 | |
Medica
| Facility | $75.22 | $118.98 | $766.63 | |
Medica
| Professional | $63.65 | $85.02 | $175.58 | |
United
| Professional | $57.06 | $80.91 | $173.37 |