| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $61.66 | $61.66 | $61.66 | |
Aetna
| Professional | $57.54 | $67.61 | $83.18 | |
BCBS
| Facility | $75.86 | $85.11 | $93.33 | |
BCBS
| Professional | $50.12 | $69.18 | $89.13 | |
Cigna
| Professional | $63.10 | $87.10 | $147.91 | |
Medica
| Facility | $61.66 | $69.18 | $112.20 | |
Medica
| Professional | $60.26 | $93.33 | $575.44 | |
United
| Facility | $47.86 | $91.20 | $128.82 | |
United
| Professional | $60.26 | $75.86 | $123.03 |