| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $63.21 | $76.91 | $96.25 | |
BCBS
| Professional | $54.00 | $54.00 | $54.00 | |
Cigna
| Professional | $60.00 | $80.00 | $124.82 | |
Medica
| Facility | $64.54 | $76.08 | $116.37 | |
Medica
| Professional | $59.21 | $100.00 | $524.21 | |
United
| Professional | $69.87 | $93.69 | $169.13 |