| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $53.21 | $53.21 | $53.21 | |
Aetna
| Professional | $45.10 | $47.89 | $87.34 | |
BCBS
| Professional | $103.58 | $121.86 | $139.94 | |
Cigna
| Professional | $60.00 | $60.60 | $76.20 | |
Medica
| Facility | $19.89 | $53.21 | $275.83 | |
Medica
| Professional | $59.11 | $85.98 | $126.55 | |
United
| Professional | $59.11 | $95.81 | $126.55 |