| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $35.70 | $40.00 | $96.86 | |
BCBS
| Professional | $71.80 | $165.34 | $217.96 | |
Cigna
| Professional | $23.33 | $68.05 | $218.57 | |
Medica
| Facility | $35.70 | $73.59 | $175.79 | |
Medica
| Professional | $74.55 | $128.16 | $564.59 | |
United
| Professional | $58.11 | $104.13 | $165.75 |