| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $45.71 | $61.66 | $120.23 | |
Aetna
| Professional | $45.71 | $61.66 | $199.53 | |
BCBS
| Professional | $97.72 | $134.90 | $151.36 | |
Cigna
| Professional | $75.86 | $75.86 | $97.72 | |
Medica
| Facility | $46.77 | $79.43 | $316.23 | |
Medica
| Professional | $33.11 | $46.77 | $114.82 | |
United
| Professional | $33.11 | $67.61 | $112.20 |