| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $32.36 | $38.90 | $45.71 | |
BCBS
| Professional | $32.36 | $39.81 | $47.86 | |
Cigna
| Professional | $46.77 | $46.77 | $51.29 | |
Medica
| Facility | $30.20 | $37.15 | $46.77 | |
Medica
| Professional | $33.88 | $43.65 | $251.19 | |
United
| Professional | $33.11 | $40.74 | $61.66 |