| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $159.30 | $159.30 | $159.30 | |
Aetna
| Professional | $159.30 | $181.05 | $181.05 | |
BCBS
| Professional | $204.72 | $242.05 | $248.08 | |
Cigna
| Professional | $250.50 | $253.01 | $318.14 | |
Medica
| Facility | $145.71 | $175.16 | $1,006.76 | |
Medica
| Professional | $87.23 | $144.54 | $177.08 | |
United
| Professional | $64.23 | $144.54 | $174.46 |