| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $104.71 | $199.53 | $398.11 | |
Aetna
| Professional | $70.79 | $85.11 | $102.33 | |
BCBS
| Professional | $109.65 | $109.65 | $109.65 | |
Cigna
| Facility | $97.72 | $194.98 | $245.47 | |
Medica
| Facility | $85.11 | $107.15 | $144.54 | |
Medica
| Professional | $44.67 | $64.57 | $537.03 | |
United
| Facility | $44.67 | $107.15 | $128.82 | |
United
| Professional | $44.67 | $64.57 | $138.04 |