| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $21.66 | $21.66 | $21.66 | |
Aetna
| Professional | $14.26 | $21.66 | $76.00 | |
BCBS
| Professional | $23.47 | $28.88 | $68.23 | |
Cigna
| Professional | $14.73 | $14.73 | $14.73 | |
Medica
| Facility | $21.66 | $36.10 | $70.76 | |
Medica
| Professional | $14.57 | $16.37 | $302.14 | |
United
| Professional | $12.12 | $15.31 | $25.52 |