| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $38.75 | $38.75 | $38.75 | |
Aetna
| Professional | $32.17 | $32.17 | $38.75 | |
BCBS
| Professional | $47.96 | $56.12 | $57.09 | |
Cigna
| Professional | $58.50 | $59.09 | $74.30 | |
Medica
| Facility | $32.17 | $51.90 | $239.48 | |
Medica
| Professional | $22.14 | $36.22 | $54.34 | |
United
| Professional | $16.98 | $36.22 | $54.34 |