| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $150.53 | $150.53 | $221.84 | |
Aetna
| Professional | $144.94 | $150.53 | $169.88 | |
BCBS
| Professional | $278.75 | $278.75 | $278.75 | |
Cigna
| Facility | $176.75 | $176.75 | $180.09 | |
Cigna
| Professional | $129.03 | $176.75 | $180.09 | |
Medica
| Facility | $91.10 | $191.19 | $1,474.48 | |
Medica
| Professional | $94.08 | $151.72 | $314.85 | |
United
| Professional | $94.08 | $143.53 | $202.44 |