| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $15.14 | $19.95 | $72.44 | |
BCBS
| Professional | $48.98 | $56.23 | $69.18 | |
Cigna
| Professional | $26.92 | $33.11 | $41.69 | |
Medica
| Facility | $13.80 | $17.38 | $27.54 | |
Medica
| Professional | $54.95 | $138.04 | $165.96 | |
United
| Professional | $23.44 | $47.86 | $60.26 |