| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $62.37 | $82.75 | $94.42 | |
BCBS
| Professional | $106.09 | $106.09 | $106.09 | |
Cigna
| Professional | $43.62 | $43.62 | $43.62 | |
Medica
| Facility | $75.11 | $91.03 | $139.32 | |
Medica
| Professional | $30.22 | $57.75 | $122.65 | |
United
| Professional | $30.22 | $42.09 | $65.04 |