| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $41.66 | $41.66 | $41.66 | |
Aetna
| Professional | $41.33 | $41.66 | $41.67 | |
BCBS
| Professional | $83.64 | $89.66 | $106.42 | |
Cigna
| Professional | $38.69 | $48.48 | $60.96 | |
Medica
| Facility | $41.66 | $41.66 | $84.23 | |
Medica
| Professional | $42.59 | $76.43 | $260.01 | |
United
| Professional | $36.20 | $76.43 | $98.52 |