| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $19.95 | $28.84 | $190.55 | |
BCBS
| Professional | $25.70 | $31.62 | $36.31 | |
Cigna
| Professional | $33.88 | $33.88 | $37.15 | |
Medica
| Facility | $21.38 | $33.88 | $190.55 | |
Medica
| Professional | $25.12 | $33.11 | $190.55 | |
United
| Professional | $25.12 | $30.20 | $45.71 |