| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $64.06 | $67.90 | $91.77 | |
BCBS
| Professional | $87.50 | $117.53 | $127.36 | |
Cigna
| Professional | $42.95 | $56.05 | $150.71 | |
Medica
| Facility | $64.06 | $81.64 | $128.31 | |
Medica
| Professional | $60.33 | $135.74 | $594.52 | |
United
| Professional | $57.37 | $63.44 | $159.03 |