| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $199.53 | $263.03 | $512.86 | |
Aetna
| Professional | $190.55 | $213.80 | $263.03 | |
BCBS
| Professional | $371.54 | $549.54 | $645.65 | |
Cigna
| Professional | $323.59 | $323.59 | $407.38 | |
Medica
| Facility | $169.82 | $213.80 | $512.86 | |
Medica
| Professional | $117.49 | $338.84 | $562.34 | |
United
| Professional | $117.49 | $288.40 | $478.63 |