| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $38.90 | $67.61 | $97.72 | |
BCBS
| Professional | $41.69 | $69.18 | $114.82 | |
Cigna
| Professional | $45.71 | $83.18 | $123.03 | |
Medica
| Facility | $38.02 | $64.57 | $95.50 | |
Medica
| Professional | $67.61 | $104.71 | $512.86 | |
United
| Facility | $47.86 | $47.86 | $83.18 | |
United
| Professional | $40.74 | $69.18 | $112.20 |