| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $38.92 | $62.11 | $88.96 | |
BCBS
| Professional | $39.86 | $63.49 | $91.22 | |
Cigna
| Professional | $47.29 | $83.55 | $118.46 | |
Medica
| Facility | $38.33 | $62.35 | $86.55 | |
Medica
| Professional | $65.54 | $120.31 | $513.01 | |
United
| Professional | $67.70 | $87.36 | $160.13 |