| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $21.41 | $28.68 | $241.38 | |
BCBS
| Professional | $18.84 | $30.14 | $33.90 | |
Cigna
| Professional | $16.13 | $34.44 | $45.59 | |
Medica
| Facility | 26 | $118.08 | $118.08 | $118.08 |
Medica
| Professional | $20.54 | $35.49 | $213.96 | |
United
| Professional | $19.77 | $24.78 | $45.00 |