| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $43.99 | $76.45 | $122.61 | |
BCBS
| Professional | $88.28 | $88.28 | $142.22 | |
Cigna
| Professional | $60.49 | $99.05 | $154.18 | |
Medica
| Facility | $47.07 | $81.34 | $128.75 | |
Medica
| Professional | $82.58 | $106.84 | $736.17 | |
United
| Professional | $58.62 | $95.88 | $120.32 |