| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $33.11 | $37.15 | $37.15 | |
Aetna
| Professional | $16.98 | $33.11 | $38.90 | |
BCBS
| Professional | $50.12 | $66.07 | $74.13 | |
Cigna
| Facility | $77.62 | $77.62 | $89.13 | |
Cigna
| Professional | $72.44 | $72.44 | $91.20 | |
Medica
| Facility | $37.15 | $60.26 | $109.65 | |
Medica
| Professional | $21.38 | $23.99 | $60.26 | |
United
| Professional | $19.95 | $23.99 | $61.66 |