| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $87.10 | $109.65 | $123.03 | |
BCBS
| Professional | $63.10 | $63.10 | $63.10 | |
Cigna
| Professional | $61.66 | $61.66 | $61.66 | |
Medica
| Facility | $95.50 | $109.65 | $154.88 | |
Medica
| Professional | $42.66 | $64.57 | $1,023.29 | |
United
| Professional | $42.66 | $63.10 | $87.10 |