| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $45.31 | $45.31 | $45.31 | |
Aetna
| Professional | $21.87 | $24.62 | $45.31 | |
BCBS
| Facility | $38.93 | $42.15 | $45.04 | |
BCBS
| Professional | $41.72 | $41.72 | $41.72 | |
Cigna
| Professional | $20.95 | $20.95 | $20.95 | |
Medica
| Facility | $22.75 | $35.47 | $60.70 | |
Medica
| Professional | $13.65 | $20.47 | $204.38 | |
United
| Professional | $13.65 | $20.47 | $29.37 |