| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $203.01 | $203.01 | $203.01 | |
Aetna
| Professional | $203.01 | $232.01 | $232.01 | |
BCBS
| Professional | $281.89 | $414.31 | $414.31 | |
Cigna
| Facility | $306.16 | $306.16 | $306.16 | |
Cigna
| Professional | $223.50 | $306.16 | $306.16 | |
Medica
| Facility | $128.19 | $284.17 | $2,089.06 | |
Medica
| Professional | $132.38 | $262.42 | $478.98 | |
United
| Professional | $132.38 | $213.34 | $299.14 |