| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $61.49 | $61.49 | $61.49 | |
Aetna
| Professional | $61.49 | $63.79 | $76.86 | |
BCBS
| Professional | $57.16 | $67.48 | $68.45 | |
Cigna
| Professional | $31.88 | $39.84 | $65.33 | |
Medica
| Facility | $61.49 | $79.94 | $109.53 | |
Medica
| Professional | $64.05 | $64.05 | $292.07 | |
United
| Professional | $64.05 | $64.05 | $71.73 |