| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $64.25 | $64.25 | $64.25 | |
Aetna
| Professional | $64.25 | $73.43 | $73.43 | |
BCBS
| Professional | $89.23 | $131.12 | $131.12 | |
Cigna
| Facility | $90.07 | $90.07 | $90.07 | |
Cigna
| Professional | $65.75 | $90.07 | $90.07 | |
Medica
| Facility | $46.42 | $89.94 | $730.36 | |
Medica
| Professional | $47.94 | $95.02 | $151.60 | |
United
| Professional | $49.80 | $71.59 | $108.32 |