| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $18.20 | $23.99 | $69.18 | |
BCBS
| Professional | $51.29 | $57.54 | $63.10 | |
Cigna
| Professional | $17.38 | $36.31 | $67.61 | |
Medica
| Facility | $19.50 | $25.12 | $44.67 | |
Medica
| Professional | $21.88 | $39.81 | $141.25 | |
United
| Professional | $19.95 | $28.18 | $47.86 |