| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $39.04 | $47.04 | $62.88 | |
BCBS
| Professional | $52.02 | $63.16 | $74.31 | |
Cigna
| Professional | $49.48 | $72.87 | $105.44 | |
Medica
| Facility | $42.28 | $56.45 | $108.44 | |
Medica
| Professional | $52.98 | $70.59 | $302.20 | |
United
| Professional | $49.89 | $63.75 | $103.47 |