| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $16.82 | $22.59 | $22.59 | |
BCBS
| Professional | $42.58 | $48.92 | $54.34 | |
Cigna
| Professional | $27.67 | $27.67 | $34.59 | |
Medica
| Facility | $13.38 | $16.82 | $22.59 | |
Medica
| Professional | $28.84 | $52.63 | $120.15 | |
United
| Professional | $24.51 | $49.98 | $52.63 |