| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $36.31 | $48.98 | $95.50 | |
Aetna
| Professional | $36.31 | $46.77 | $63.10 | |
BCBS
| Professional | $77.62 | $104.71 | $120.23 | |
Cigna
| Professional | $60.26 | $60.26 | $77.62 | |
Medica
| Facility | $37.15 | $63.10 | $251.19 | |
Medica
| Professional | $22.39 | $26.92 | $89.13 | |
United
| Professional | $22.39 | $52.48 | $75.86 |