| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $20.66 | $25.21 | $45.00 | |
BCBS
| Professional | $16.05 | $18.97 | $33.40 | |
Cigna
| Professional | $19.00 | $27.02 | $40.68 | |
Medica
| Facility | $20.66 | $25.46 | $38.72 | |
Medica
| Professional | $22.31 | $45.62 | $158.99 | |
United
| Professional | $21.94 | $29.46 | $55.11 |