| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $25.12 | $25.12 | $25.12 | |
Aetna
| Professional | $16.98 | $20.89 | $32.36 | |
BCBS
| Professional | $32.36 | $38.02 | $39.81 | |
Cigna
| Professional | $41.69 | $41.69 | $52.48 | |
Medica
| Facility | $20.89 | $28.84 | $162.18 | |
Medica
| Professional | $14.13 | $16.22 | $28.84 | |
United
| Facility | $2.09 | $15.49 | $20.89 | |
United
| Professional | $12.59 | $18.62 | $39.81 |