| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $16.98 | $22.91 | $44.67 | |
Aetna
| Professional | $16.98 | $22.91 | $30.20 | |
BCBS
| Professional | $36.31 | $50.12 | $56.23 | |
Cigna
| Professional | $28.84 | $28.84 | $44.67 | |
Medica
| Facility | $17.38 | $25.12 | $52.48 | |
Medica
| Professional | $10.47 | $27.54 | $125.89 | |
United
| Professional | $10.47 | $14.13 | $36.31 |