| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $22.91 | $44.67 | $47.86 | |
BCBS
| Professional | $48.98 | $48.98 | $48.98 | |
Cigna
| Professional | $24.55 | $24.55 | $24.55 | |
Medica
| Facility | $41.69 | $44.67 | $57.54 | |
Medica
| Professional | $16.98 | $26.30 | $288.40 | |
United
| Professional | $16.98 | $25.12 | $36.31 |