| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $22.91 | $32.36 | $61.66 | |
Aetna
| Professional | $22.91 | $28.84 | $51.29 | |
BCBS
| Professional | $50.12 | $66.07 | $77.62 | |
Cigna
| Professional | $38.90 | $38.90 | $50.12 | |
Medica
| Facility | $23.99 | $40.74 | $162.18 | |
Medica
| Professional | $15.49 | $21.88 | $57.54 | |
United
| Professional | $15.49 | $34.67 | $53.70 |