| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $56.34 | $67.47 | $93.63 | |
BCBS
| Professional | $51.38 | $62.39 | $73.40 | |
Cigna
| Professional | $54.75 | $92.85 | $139.94 | |
Medica
| Facility | $63.15 | $79.09 | $153.19 | |
Medica
| Professional | $72.73 | $107.73 | $575.00 | |
United
| Professional | $69.00 | $93.95 | $176.33 |