| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $72.14 | $72.14 | $72.14 | |
Aetna
| Professional | $68.15 | $68.15 | $72.14 | |
BCBS
| Professional | $92.68 | $109.59 | $112.31 | |
Cigna
| Professional | $113.63 | $114.76 | $144.30 | |
Medica
| Facility | $29.07 | $72.14 | $456.72 | |
Medica
| Professional | $39.50 | $48.52 | $78.98 | |
United
| Professional | $34.22 | $49.46 | $103.98 |