| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $42.01 | $42.01 | $42.01 | |
Aetna
| Professional | $42.01 | $49.86 | $55.67 | |
BCBS
| Professional | $69.25 | $69.25 | $81.47 | |
Cigna
| Professional | $44.04 | $44.04 | $71.81 | |
Medica
| Facility | $40.71 | $48.63 | $64.81 | |
Medica
| Professional | $56.25 | $66.88 | $332.57 | |
United
| Professional | $56.25 | $60.08 | $84.74 |