| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $62.92 | $99.18 | $118.44 | |
BCBS
| Professional | $106.36 | $106.36 | $125.13 | |
Cigna
| Professional | $137.59 | $137.59 | $137.59 | |
Medica
| Facility | $18.46 | $87.79 | $109.25 | |
Medica
| Professional | $116.12 | $143.86 | $659.14 | |
United
| Professional | $113.04 | $133.59 | $228.38 |