| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $29.86 | $29.86 | $29.86 | |
Aetna
| Professional | $21.11 | $26.17 | $29.86 | |
BCBS
| Professional | $37.52 | $45.37 | $50.03 | |
Cigna
| Facility | $71.65 | $71.65 | $82.40 | |
Cigna
| Professional | $47.63 | $48.10 | $59.53 | |
Medica
| Facility | $29.86 | $41.04 | $73.87 | |
Medica
| Professional | $16.35 | $17.39 | $41.04 | |
United
| Professional | $11.60 | $16.35 | $32.70 |