| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $51.31 | $92.35 | $160.49 | |
Aetna
| Professional | $51.31 | $51.31 | $64.65 | |
BCBS
| Professional | $77.23 | $103.39 | $115.45 | |
Cigna
| Professional | $53.51 | $53.51 | $66.89 | |
Medica
| Facility | $51.31 | $51.31 | $138.82 | |
Medica
| Professional | $26.17 | $60.93 | $102.62 | |
United
| Professional | $21.55 | $60.93 | $74.40 |