| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $21.60 | $21.60 | $55.55 | |
Aetna
| Professional | $21.60 | $22.48 | $29.01 | |
BCBS
| Professional | $51.30 | $62.18 | $69.79 | |
Cigna
| Professional | $35.52 | $35.86 | $45.11 | |
Medica
| Facility | $21.60 | $46.29 | $146.59 | |
Medica
| Professional | $12.96 | $33.51 | $52.46 | |
United
| Professional | $12.96 | $16.05 | $44.75 |