| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $56.66 | $75.25 | $88.81 | |
BCBS
| Professional | $47.63 | $76.20 | $85.73 | |
Cigna
| Professional | $43.93 | $75.19 | $120.93 | |
Medica
| Facility | $56.66 | $91.51 | $169.14 | |
Medica
| Professional | $56.98 | $100.69 | $594.52 | |
United
| Professional | $56.92 | $63.44 | $136.71 |