| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $48.30 | $58.38 | $78.11 | |
BCBS
| Professional | $71.31 | $86.61 | $119.10 | |
Cigna
| Professional | $40.00 | $55.90 | $108.88 | |
Medica
| Facility | $53.06 | $66.40 | $133.25 | |
Medica
| Professional | $76.13 | $163.47 | $404.95 | |
United
| Professional | $63.55 | $85.53 | $125.71 |