| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $24.67 | $51.96 | $99.69 | |
BCBS
| Professional | $41.44 | $48.75 | $105.15 | |
Cigna
| Professional | $34.21 | $65.34 | $133.00 | |
Medica
| Facility | $24.67 | $64.68 | $113.55 | |
Medica
| Professional | $71.48 | $93.61 | $539.48 | |
United
| Professional | $71.00 | $86.70 | $114.30 |