| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $91.98 | $91.98 | $91.98 | |
Aetna
| Professional | $37.10 | $60.26 | $91.98 | |
BCBS
| Facility | $99.34 | $108.39 | $114.96 | |
BCBS
| Professional | $107.58 | $107.58 | $107.58 | |
Cigna
| Facility | $53.85 | $53.85 | $53.85 | |
Cigna
| Professional | $39.31 | $53.85 | $145.31 | |
Medica
| Facility | $60.26 | $86.69 | $456.49 | |
Medica
| Professional | $28.66 | $53.57 | $147.80 | |
United
| Professional | $30.35 | $51.14 | $73.90 |