| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $97.95 | $97.95 | $211.36 | |
Aetna
| Professional | $21.00 | $97.95 | $139.38 | |
BCBS
| Professional | $93.81 | $110.91 | $111.74 | |
Cigna
| Professional | $62.78 | $63.40 | $79.73 | |
Medica
| Facility | $97.95 | $97.95 | $166.52 | |
United
| Professional | $22.29 | $22.29 | $22.29 |