| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $13.62 | $33.88 | $325.10 | |
BCBS
| Professional | $30.16 | $48.26 | $54.29 | |
Cigna
| Professional | $9.60 | $15.65 | $48.99 | |
Medica
| Facility | $17.17 | $50.56 | $76.98 | |
Medica
| Professional | $9.49 | $32.49 | $252.80 | |
United
| Professional | $9.49 | $30.34 | $63.04 |