| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $38.01 | $38.01 | $97.74 | |
Aetna
| Professional | $35.29 | $51.04 | $56.50 | |
BCBS
| Professional | $90.27 | $109.41 | $122.79 | |
Cigna
| Professional | $62.36 | $62.99 | $79.20 | |
Medica
| Facility | $38.01 | $64.62 | $257.93 | |
Medica
| Professional | $22.81 | $54.30 | $92.31 | |
United
| Facility | $54.30 | $54.30 | $54.30 | |
United
| Professional | $22.81 | $54.30 | $78.73 |