| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $28.50 | $28.50 | $52.32 | |
Aetna
| Professional | $27.05 | $38.96 | $57.05 | |
BCBS
| Professional | $51.95 | $76.26 | $119.90 | |
Cigna
| Professional | $49.18 | $82.28 | $164.56 | |
Medica
| Facility | $28.50 | $52.32 | $156.96 | |
Medica
| Professional | $37.40 | $44.79 | $187.85 | |
United
| Professional | $37.94 | $44.79 | $72.41 |