| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $34.71 | $34.71 | $89.26 | |
Aetna
| Professional | $34.71 | $46.61 | $46.61 | |
BCBS
| Professional | $74.65 | $99.92 | $111.58 | |
Cigna
| Professional | $56.99 | $56.99 | $83.67 | |
Medica
| Facility | $29.75 | $38.68 | $89.26 | |
Medica
| Professional | $29.75 | $71.91 | $99.18 | |
United
| Facility | $49.59 | $49.59 | $49.59 | |
United
| Professional | $20.83 | $65.45 | $85.03 |