| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $14.22 | $110.00 | $128.22 | |
BCBS
| Professional | $107.11 | $130.06 | $153.01 | |
Cigna
| Professional | $21.00 | $25.56 | $60.00 | |
Medica
| Facility | $16.09 | $117.76 | $137.74 | |
Medica
| Professional | $23.82 | $156.71 | $806.50 | |
United
| Professional | $23.82 | $144.18 | $211.12 |