| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $16.98 | $21.88 | $95.50 | |
BCBS
| Professional | $28.84 | $30.20 | $40.74 | |
Cigna
| Professional | $11.48 | $25.70 | $43.65 | |
Medica
| Facility | $20.42 | $30.20 | $53.70 | |
Medica
| Professional | $15.14 | $23.44 | $2,818.38 | |
United
| Facility | $23.44 | $23.44 | $23.44 | |
United
| Professional | $15.14 | $18.20 | $33.88 |