| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $13.62 | $25.38 | $74.30 | |
BCBS
| Professional | $14.52 | $27.57 | $51.00 | |
Cigna
| Professional | $26.01 | $43.75 | $63.56 | |
Medica
| Professional | $28.07 | $49.46 | $204.08 | |
Midlands
| Professional | $31.64 | $42.37 | $63.56 | |
United
| Professional | $28.07 | $49.46 | $64.20 |