| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $15.20 | $19.64 | $27.82 | |
BCBS
| Professional | $24.99 | $24.99 | $27.40 | |
Cigna
| Professional | $10.65 | $10.65 | $10.65 | |
Medica
| Facility | $17.63 | $24.50 | $32.54 | |
Medica
| Professional | $12.16 | $13.31 | $142.29 | |
United
| Professional | $9.11 | $12.16 | $30.39 |