| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $51.73 | $97.12 | $150.07 | |
Aetna
| Professional | $35.25 | $40.89 | $50.29 | |
BCBS
| Professional | $58.75 | $58.75 | $58.75 | |
Cigna
| Facility | $41.55 | $76.98 | $106.81 | |
Medica
| Facility | $37.60 | $47.00 | $63.23 | |
Medica
| Professional | $19.73 | $28.20 | $234.06 | |
United
| Professional | $19.73 | $28.20 | $70.50 |