| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $85.91 | $85.91 | $85.91 | |
Aetna
| Professional | $85.91 | $98.18 | $99.12 | |
BCBS
| Professional | $119.30 | $175.33 | $175.33 | |
Cigna
| Facility | $120.62 | $120.62 | $120.62 | |
Cigna
| Professional | $88.05 | $120.62 | $120.62 | |
Medica
| Facility | $57.30 | $120.26 | $927.48 | |
Medica
| Professional | $59.18 | $114.35 | $198.04 | |
United
| Professional | $66.59 | $95.44 | $133.15 |