| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $42.83 | $69.28 | $187.53 | |
Aetna
| Professional | $31.26 | $35.25 | $39.95 | |
BCBS
| Facility | $24.39 | $92.64 | $146.76 | |
BCBS
| Professional | $30.84 | $44.86 | $217.27 | |
Cigna
| Facility | $31.40 | $76.38 | $137.47 | |
Medica
| Facility | $31.49 | $47.00 | $86.00 | |
Medica
| Professional | $19.73 | $19.73 | $234.06 | |
United
| Professional | $19.73 | $19.73 | $28.20 |