| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $60.11 | $453.54 | $700.99 | |
BCBS
| Professional | $42.06 | $42.06 | $42.06 | |
Cigna
| Professional | $137.88 | $137.88 | $137.88 | |
Medica
| Facility | $595.84 | $700.99 | $750.06 | |
Medica
| Professional | $64.81 | $82.06 | $669.91 | |
United
| Professional | $63.41 | $81.76 | $375.15 |