| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $61.87 | $61.87 | $61.87 | |
Aetna
| Professional | $47.99 | $61.87 | $96.01 | |
BCBS
| Facility | $147.16 | $223.27 | $426.15 | |
Cigna
| Facility | $68.59 | $68.59 | $68.59 | |
Cigna
| Professional | $96.75 | $134.90 | $230.73 | |
Medica
| Facility | $49.49 | $68.90 | $104.56 | |
Medica
| Professional | $56.34 | $102.98 | $249.81 | |
United
| Professional | $52.66 | $100.56 | $182.09 |