| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $45.45 | $56.91 | $76.64 | |
BCBS
| Professional | $37.97 | $44.89 | $46.36 | |
Cigna
| Professional | $39.00 | $56.00 | $85.62 | |
Medica
| Facility | $49.92 | $60.23 | $97.72 | |
Medica
| Professional | $53.69 | $109.76 | $404.95 | |
United
| Professional | $53.69 | $73.05 | $127.87 |