| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $25.12 | $57.54 | $104.71 | |
BCBS
| Professional | $61.66 | $81.28 | $218.78 | |
Cigna
| Professional | $45.71 | $87.10 | $218.78 | |
Medica
| Facility | $25.70 | $63.10 | $102.33 | |
Medica
| Professional | $70.79 | $134.90 | $537.03 | |
United
| Professional | $30.90 | $70.79 | $144.54 |