| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $16.13 | $21.66 | $21.66 | |
BCBS
| Professional | $40.82 | $51.84 | $52.10 | |
Cigna
| Professional | $26.43 | $26.43 | $33.04 | |
Medica
| Facility | $13.82 | $17.51 | $24.89 | |
Medica
| Professional | $27.65 | $55.58 | $166.58 | |
United
| Professional | $13.82 | $27.65 | $50.46 |