| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $40.56 | $40.56 | $40.56 | |
Aetna
| Professional | $31.63 | $31.63 | $40.56 | |
BCBS
| Professional | $53.32 | $62.40 | $63.48 | |
Cigna
| Professional | $61.13 | $61.74 | $77.63 | |
Medica
| Facility | $31.63 | $44.40 | $259.69 | |
Medica
| Professional | $21.93 | $31.85 | $47.78 | |
United
| Professional | $17.54 | $31.85 | $65.40 |