| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $35.39 | $47.53 | $47.53 | |
BCBS
| Professional | $89.59 | $113.76 | $114.33 | |
Cigna
| Professional | $57.82 | $57.82 | $72.28 | |
Medica
| Facility | $14.42 | $35.39 | $47.53 | |
Medica
| Professional | $31.22 | $110.73 | $252.80 | |
United
| Professional | $51.57 | $105.16 | $110.73 |