| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $158.69 | $158.69 | $158.69 | |
Aetna
| Professional | $158.69 | $201.95 | $201.95 | |
BCBS
| Professional | $203.95 | $241.14 | $247.14 | |
Cigna
| Professional | $279.38 | $282.17 | $354.81 | |
Medica
| Facility | $96.88 | $187.34 | $1,135.98 | |
Medica
| Professional | $86.90 | $152.77 | $176.41 | |
United
| Professional | $67.90 | $101.84 | $173.80 |