| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $36.31 | $93.33 | $239.88 | |
Aetna
| Professional | $30.20 | $36.31 | $44.67 | |
BCBS
| Facility | $22.39 | $72.44 | $107.15 | |
BCBS
| Professional | $44.67 | $46.77 | $89.13 | |
Cigna
| Facility | $28.18 | $36.31 | $131.83 | |
Medica
| Facility | $31.62 | $46.77 | $85.11 | |
Medica
| Professional | $19.95 | $19.95 | $234.42 | |
United
| Facility | $42.66 | $46.77 | $56.23 | |
United
| Professional | $19.95 | $19.95 | $28.18 |