| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $10.44 | $18.87 | $19.53 | |
BCBS
| Professional | $21.94 | $21.94 | $21.94 | |
Cigna
| Professional | $9.44 | $9.44 | $9.44 | |
Medica
| Facility | $16.76 | $18.87 | $25.06 | |
Medica
| Professional | $6.55 | $11.95 | $25.37 | |
United
| Professional | $6.55 | $9.11 | $14.09 |