| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $45.70 | $45.70 | $45.70 | |
Aetna
| Professional | $45.70 | $47.42 | $57.13 | |
BCBS
| Professional | $40.36 | $45.40 | $49.17 | |
Cigna
| Facility | $234.92 | $234.92 | $270.16 | |
Cigna
| Professional | $48.56 | $151.50 | $187.50 | |
Medica
| Facility | $45.70 | $51.42 | $147.22 | |
Medica
| Professional | $57.13 | $1,576.28 | $1,711.92 | |
United
| Professional | $57.13 | $57.13 | $75.41 |