| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $77.05 | $77.05 | $82.88 | |
Aetna
| Professional | $61.51 | $77.05 | $86.44 | |
BCBS
| Professional | $135.11 | $159.74 | $163.72 | |
Cigna
| Professional | $92.63 | $93.55 | $117.63 | |
Medica
| Facility | $41.63 | $77.05 | $431.88 | |
Medica
| Professional | $43.79 | $61.15 | $91.73 | |
United
| Professional | $32.49 | $61.64 | $104.19 |