| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $30.90 | $41.69 | $81.28 | |
Aetna
| Professional | $28.18 | $33.88 | $52.48 | |
BCBS
| Professional | $58.88 | $87.10 | $102.33 | |
Cigna
| Professional | $51.29 | $51.29 | $64.57 | |
Medica
| Facility | $26.92 | $32.36 | $81.28 | |
Medica
| Professional | $19.05 | $53.70 | $89.13 | |
United
| Professional | $19.05 | $45.71 | $75.86 |