| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $64.64 | $64.64 | $64.64 | |
Aetna
| Professional | $27.60 | $28.80 | $64.64 | |
BCBS
| Professional | $83.08 | $98.23 | $100.67 | |
Cigna
| Professional | $103.13 | $104.16 | $130.97 | |
Medica
| Facility | $44.58 | $64.64 | $415.82 | |
Medica
| Professional | $35.39 | $63.26 | $86.77 | |
United
| Professional | $26.59 | $46.54 | $70.78 |