| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $10.50 | $10.50 | $27.00 | |
Aetna
| Professional | $10.50 | $10.70 | $14.10 | |
BCBS
| Professional | $24.94 | $30.23 | $33.92 | |
Cigna
| Professional | $16.93 | $17.10 | $21.50 | |
Medica
| Facility | $10.50 | $18.53 | $71.25 | |
Medica
| Professional | $6.30 | $16.76 | $25.50 | |
United
| Professional | $6.30 | $8.38 | $21.00 |