| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $15.47 | $20.39 | $72.09 | |
BCBS
| Professional | $49.20 | $55.12 | $68.70 | |
Cigna
| Professional | $26.85 | $33.45 | $41.82 | |
Medica
| Facility | $13.92 | $17.55 | $27.43 | |
Medica
| Professional | $33.35 | $60.14 | $164.61 | |
United
| Professional | $28.35 | $28.35 | $60.14 |