| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $17.82 | $31.69 | $39.90 | |
BCBS
| Professional | $18.89 | $30.23 | $34.01 | |
Cigna
| Professional | $13.54 | $23.87 | $47.77 | |
Medica
| Facility | $25.03 | $33.00 | $66.91 | |
Medica
| Professional | $15.97 | $26.61 | $3,255.68 | |
United
| Professional | $15.97 | $22.76 | $47.61 |