| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $52.16 | $60.07 | $60.07 | |
BCBS
| Professional | $68.88 | $73.84 | $94.60 | |
Cigna
| Professional | $21.68 | $52.11 | $97.05 | |
Medica
| Facility | $36.79 | $60.07 | $143.31 | |
Medica
| Professional | $53.72 | $88.48 | $624.00 | |
United
| Professional | $37.28 | $51.54 | $126.40 |