| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $28.18 | $28.18 | $28.18 | |
Aetna
| Professional | $26.62 | $26.62 | $28.18 | |
BCBS
| Professional | $36.21 | $42.81 | $43.88 | |
Cigna
| Professional | $44.25 | $44.69 | $56.20 | |
Medica
| Facility | $17.87 | $28.18 | $178.31 | |
Medica
| Professional | $15.43 | $18.95 | $30.85 | |
United
| Professional | $13.36 | $26.50 | $42.14 |