| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $14.37 | $14.37 | $45.15 | |
Aetna
| Professional | $14.37 | $14.37 | $14.37 | |
BCBS
| Professional | $19.45 | $22.99 | $23.57 | |
Cigna
| Professional | $21.75 | $21.97 | $27.62 | |
Medica
| Facility | $14.37 | $14.37 | $90.00 | |
Medica
| Professional | $9.01 | $14.55 | $18.22 | |
United
| Professional | $6.47 | $14.55 | $18.22 |