| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $40.60 | $40.60 | $104.40 | |
Aetna
| Professional | $40.60 | $40.60 | $54.52 | |
BCBS
| Professional | $96.42 | $116.87 | $131.15 | |
Cigna
| Professional | $66.48 | $67.16 | $84.45 | |
Medica
| Facility | $40.60 | $87.00 | $532.57 | |
Medica
| Professional | $28.75 | $69.59 | $99.45 | |
United
| Professional | $24.36 | $40.58 | $99.45 |