| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $45.74 | $45.74 | $117.61 | |
Aetna
| Professional | $45.74 | $61.42 | $61.42 | |
BCBS
| Professional | $98.35 | $131.66 | $147.02 | |
Cigna
| Professional | $75.17 | $75.17 | $110.35 | |
Medica
| Facility | $39.20 | $49.66 | $117.61 | |
Medica
| Professional | $30.54 | $74.84 | $130.68 | |
United
| Professional | $27.44 | $66.65 | $111.08 |