| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $90.19 | $90.19 | $90.19 | |
Aetna
| Professional | $37.71 | $66.20 | $90.19 | |
BCBS
| Professional | $141.94 | $141.94 | $141.94 | |
Cigna
| Facility | $60.46 | $60.46 | $60.46 | |
Cigna
| Professional | $60.46 | $60.46 | $138.75 | |
Medica
| Facility | $37.71 | $84.44 | $433.65 | |
Medica
| Professional | $31.17 | $49.92 | $94.72 | |
United
| Professional | $31.17 | $49.92 | $87.98 |