| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $41.22 | $41.22 | $41.22 | |
Aetna
| Professional | $41.22 | $46.54 | $97.16 | |
BCBS
| Professional | $256.22 | $301.43 | $301.43 | |
Cigna
| Professional | $23.06 | $23.06 | $27.62 | |
Medica
| Facility | $41.22 | $47.94 | $108.60 | |
Medica
| Professional | $113.15 | $332.81 | $442.64 | |
United
| Professional | $102.86 | $312.33 | $462.24 |