| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $149.87 | $212.93 | $220.37 | |
BCBS
| Professional | $247.61 | $247.61 | $247.61 | |
Cigna
| Professional | $101.80 | $101.80 | $101.80 | |
Medica
| Facility | $188.95 | $212.94 | $325.14 | |
Medica
| Professional | $70.54 | $131.55 | $286.26 | |
United
| Professional | $70.54 | $98.08 | $151.79 |