| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $95.79 | $166.34 | $172.15 | |
BCBS
| Professional | $193.43 | $193.43 | $193.43 | |
Cigna
| Professional | $86.76 | $86.76 | $86.76 | |
Medica
| Facility | $147.59 | $166.35 | $254.00 | |
Medica
| Professional | $60.11 | $105.29 | $223.62 | |
United
| Professional | $60.11 | $90.17 | $129.36 |