| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $15.85 | $18.20 | $23.99 | |
BCBS
| Professional | $33.11 | $39.81 | $44.67 | |
Cigna
| Professional | $17.38 | $33.11 | $46.77 | |
Medica
| Facility | $16.98 | $24.55 | $39.81 | |
Medica
| Professional | $16.60 | $28.84 | $162.18 | |
United
| Professional | $16.22 | $25.70 | $42.66 |