| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $18.79 | $21.73 | $27.78 | |
BCBS
| Professional | $11.01 | $11.01 | $11.01 | |
Cigna
| Professional | $12.15 | $12.15 | $12.15 | |
Medica
| Facility | $18.79 | $21.20 | $26.30 | |
Medica
| Professional | $8.42 | $12.62 | $167.01 | |
United
| Professional | $8.42 | $12.23 | $16.17 |