| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $15.31 | $15.31 | $15.31 | |
Aetna
| Professional | $15.09 | $15.31 | $25.72 | |
BCBS
| Professional | $22.52 | $22.52 | $22.52 | |
Cigna
| Professional | $10.49 | $10.49 | $10.49 | |
Medica
| Facility | $15.09 | $25.72 | $66.39 | |
Medica
| Professional | $8.32 | $15.03 | $365.74 | |
United
| Professional | $7.27 | $11.86 | $17.68 |