| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $47.99 | $85.16 | $95.34 | |
BCBS
| Professional | $96.20 | $113.65 | $212.88 | |
Cigna
| Professional | $37.83 | $76.66 | $179.83 | |
Medica
| Facility | $40.79 | $74.12 | $145.58 | |
Medica
| Professional | $76.98 | $130.72 | $312.51 | |
United
| Professional | $72.70 | $105.69 | $163.40 |