| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $32.36 | $154.88 | $158.49 | |
Aetna
| Professional | $100.00 | $120.23 | $158.49 | |
BCBS
| Professional | $177.83 | $234.42 | $257.04 | |
Cigna
| Professional | $263.03 | $263.03 | $331.13 | |
Medica
| Facility | $60.26 | $154.88 | $1,047.13 | |
Medica
| Professional | $85.11 | $107.15 | $213.80 | |
United
| Facility | $100.00 | $331.13 | $331.13 | |
United
| Professional | $77.62 | $112.20 | $245.47 |