| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $19.35 | $25.98 | $25.98 | |
BCBS
| Professional | $48.97 | $56.27 | $62.50 | |
Cigna
| Professional | $31.80 | $31.80 | $39.75 | |
Medica
| Facility | $13.38 | $19.35 | $25.98 | |
Medica
| Professional | $28.98 | $60.53 | $138.19 | |
United
| Professional | $28.19 | $57.49 | $60.53 |