| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $28.66 | $54.55 | $72.45 | |
BCBS
| Facility | $43.84 | $43.84 | $48.22 | |
BCBS
| Professional | $24.41 | $25.50 | $29.14 | |
Cigna
| Professional | $36.20 | $61.19 | $125.60 | |
Medica
| Facility | $28.66 | $49.01 | $112.74 | |
Medica
| Professional | $50.40 | $60.55 | $624.00 | |
United
| Professional | $49.28 | $58.80 | $83.04 |