| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $93.08 | $93.08 | $93.08 | |
Aetna
| Professional | $74.56 | $102.50 | $402.00 | |
BCBS
| Facility | $26.22 | $94.71 | $171.22 | |
BCBS
| Professional | $65.54 | $87.39 | $133.35 | |
Cigna
| Facility | $106.63 | $106.63 | $106.63 | |
Cigna
| Professional | $77.84 | $77.84 | $221.63 | |
Medica
| Facility | $54.96 | $129.94 | $889.53 | |
Medica
| Professional | $76.87 | $85.13 | $128.25 | |
United
| Professional | $76.95 | $85.13 | $128.25 |