| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $10.16 | $73.48 | $166.02 | |
Aetna
| Professional | $73.48 | $73.48 | $92.59 | |
BCBS
| Facility | $71.20 | $75.70 | $113.56 | |
BCBS
| Professional | $65.09 | $65.09 | $65.09 | |
Cigna
| Facility | $62.14 | $115.14 | $142.32 | |
Cigna
| Professional | $102.00 | $102.00 | $102.00 | |
Medica
| Facility | $70.29 | $73.48 | $99.21 | |
Medica
| Professional | $34.40 | $49.15 | $350.04 | |
United
| Professional | $34.40 | $47.14 | $117.84 |