| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $73.66 | $88.80 | $100.91 | |
BCBS
| Professional | $53.40 | $53.40 | $53.40 | |
Cigna
| Professional | $50.89 | $50.89 | $50.89 | |
Medica
| Facility | $78.70 | $88.80 | $126.87 | |
Medica
| Professional | $35.26 | $52.89 | $908.69 | |
United
| Professional | $35.26 | $52.89 | $66.95 |