| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $32.36 | $38.90 | $144.54 | |
BCBS
| Professional | $104.71 | $120.23 | $134.90 | |
Cigna
| Professional | $56.23 | $64.57 | $81.28 | |
Medica
| Facility | $29.51 | $36.31 | $54.95 | |
Medica
| Professional | $109.65 | $295.12 | $331.13 | |
United
| Professional | $50.12 | $100.00 | $128.82 |