| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $22.23 | $24.70 | $45.00 | |
BCBS
| Professional | $43.14 | $52.39 | $64.70 | |
Cigna
| Professional | $20.00 | $27.50 | $49.91 | |
Medica
| Facility | $20.32 | $23.91 | $29.75 | |
Medica
| Professional | $28.80 | $44.71 | $158.99 | |
United
| Professional | $27.06 | $35.72 | $51.63 |