| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $25.44 | $28.71 | $32.61 | |
BCBS
| Professional | $10.78 | $10.78 | $10.78 | |
Cigna
| Professional | $16.45 | $16.45 | $16.45 | |
Medica
| Facility | $25.44 | $28.71 | $34.27 | |
Medica
| Professional | $11.40 | $17.09 | $389.75 | |
United
| Professional | $11.40 | $17.09 | $21.64 |