| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $17.44 | $21.08 | $168.60 | |
BCBS
| Professional | $12.68 | $22.05 | $22.82 | |
Cigna
| Professional | $21.42 | $34.00 | $60.35 | |
Medica
| Facility | $21.67 | $33.38 | $61.39 | |
Medica
| Professional | $15.73 | $26.22 | $307.52 | |
United
| Professional | $15.73 | $19.32 | $35.42 |