| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $67.61 | $79.43 | $107.15 | |
BCBS
| Professional | $53.70 | $53.70 | $53.70 | |
Cigna
| Professional | $60.26 | $83.18 | $125.89 | |
Medica
| Facility | $64.57 | $79.43 | $125.89 | |
Medica
| Professional | $67.61 | $97.72 | $524.81 | |
United
| Facility | $87.10 | $87.10 | $87.10 | |
United
| Professional | $70.79 | $91.20 | $144.54 |