| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $19.39 | $19.67 | $28.06 | |
BCBS
| Professional | $24.91 | $24.91 | $24.91 | |
Cigna
| Professional | $20.90 | $27.07 | $72.81 | |
Medica
| Facility | $20.65 | $36.71 | $108.00 | |
Medica
| Professional | $15.73 | $32.78 | $307.52 | |
United
| Professional | $15.73 | $18.98 | $48.51 |