| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $39.58 | $45.06 | $52.60 | |
BCBS
| Professional | $33.36 | $33.36 | $33.36 | |
Cigna
| Professional | $25.82 | $25.82 | $25.82 | |
Medica
| Facility | $39.94 | $46.73 | $85.52 | |
Medica
| Professional | $17.89 | $26.83 | $339.54 | |
United
| Professional | $17.89 | $26.83 | $33.96 |