| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $108.89 | $145.21 | $188.58 | |
BCBS
| Professional | $216.86 | $216.86 | $216.86 | |
Cigna
| Professional | $71.33 | $71.33 | $71.33 | |
Medica
| Facility | $123.61 | $157.38 | $235.86 | |
Medica
| Professional | $58.04 | $98.84 | $951.02 | |
United
| Professional | $49.42 | $95.76 | $132.38 |