| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $12.09 | $12.09 | $31.09 | |
Aetna
| Professional | $12.09 | $12.09 | $16.23 | |
BCBS
| Professional | $26.00 | $34.79 | $38.86 | |
Cigna
| Professional | $19.82 | $20.02 | $25.18 | |
Medica
| Facility | $12.09 | $20.55 | $82.03 | |
Medica
| Professional | $7.25 | $17.27 | $29.36 | |
United
| Facility | $17.27 | $17.27 | $17.27 | |
United
| Professional | $7.25 | $8.81 | $25.04 |