| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $18.77 | $20.30 | $22.07 | |
BCBS
| Professional | $23.83 | $24.10 | $26.70 | |
Cigna
| Professional | $12.97 | $28.24 | $40.19 | |
Medica
| Facility | $19.71 | $28.83 | $41.86 | |
Medica
| Professional | $15.22 | $31.71 | $2,796.55 | |
United
| Professional | $15.22 | $20.91 | $40.59 |