| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $12.88 | $12.88 | $33.11 | |
Aetna
| Professional | $12.88 | $12.88 | $17.30 | |
BCBS
| Professional | $30.59 | $37.08 | $41.61 | |
Cigna
| Professional | $21.06 | $21.27 | $26.75 | |
Medica
| Facility | $12.88 | $21.90 | $87.40 | |
Medica
| Professional | $7.73 | $18.39 | $31.28 | |
United
| Professional | $7.73 | $9.38 | $25.76 |