| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $36.36 | $453.54 | $731.48 | |
BCBS
| Professional | $48.35 | $58.64 | $58.64 | |
Cigna
| Professional | $170.98 | $170.98 | $170.98 | |
Medica
| Facility | $46.14 | $530.75 | $753.00 | |
Medica
| Professional | $67.18 | $98.80 | $248.47 | |
United
| Professional | $68.76 | $98.80 | $439.35 |