| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $74.31 | $101.85 | $101.85 | |
Aetna
| Professional | $33.46 | $48.70 | $74.31 | |
BCBS
| Facility | $135.10 | $142.21 | $151.27 | |
BCBS
| Professional | $128.35 | $128.35 | $128.35 | |
Cigna
| Facility | $67.20 | $67.20 | $67.20 | |
Cigna
| Professional | $49.06 | $67.20 | $105.94 | |
Medica
| Facility | $33.46 | $73.03 | $324.51 | |
Medica
| Professional | $34.54 | $65.37 | $136.69 | |
United
| Facility | $105.88 | $105.88 | $124.56 | |
United
| Professional | $35.10 | $64.59 | $90.57 |