| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $39.81 | $39.81 | $39.81 | |
Aetna
| Professional | $34.67 | $44.67 | $549.54 | |
BCBS
| Professional | $501.19 | $501.19 | $501.19 | |
Cigna
| Professional | $275.42 | $363.08 | $457.09 | |
Medica
| Facility | $42.66 | $50.12 | $3,090.30 | |
Medica
| Professional | $50.12 | $61.66 | $1,584.89 | |
United
| Professional | $50.12 | $57.54 | $74.13 |