| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $31.19 | $31.19 | $49.54 | |
Aetna
| Professional | $28.32 | $32.71 | $171.95 | |
BCBS
| Professional | $55.97 | $67.30 | $73.79 | |
Cigna
| Professional | $42.87 | $63.59 | $95.55 | |
Medica
| Facility | $24.63 | $31.19 | $53.02 | |
Medica
| Professional | $32.11 | $63.47 | $324.60 | |
United
| Professional | $32.11 | $56.85 | $73.73 |