| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $67.29 | $67.29 | $67.29 | |
Aetna
| Professional | $29.14 | $49.65 | $67.29 | |
BCBS
| Professional | $80.44 | $80.44 | $80.44 | |
Cigna
| Facility | $48.02 | $48.02 | $48.02 | |
Cigna
| Professional | $48.02 | $48.02 | $102.66 | |
Medica
| Facility | $29.14 | $63.00 | $344.64 | |
Medica
| Professional | $24.02 | $38.26 | $73.02 | |
United
| Professional | $24.96 | $37.44 | $67.98 |