| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $10.00 | $10.00 | $29.66 | |
BCBS
| Professional | $15.75 | $19.70 | $21.63 | |
Cigna
| Professional | $13.48 | $22.45 | $24.53 | |
Medica
| Professional | $12.27 | $19.48 | $32.64 | |
United
| Professional | $12.27 | $19.48 | $32.50 |