| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $28.91 | $68.14 | $92.80 | |
BCBS
| Professional | $43.05 | $92.52 | $130.24 | |
Cigna
| Professional | $40.38 | $74.09 | $124.67 | |
Medica
| Facility | $37.95 | $71.91 | $111.97 | |
Medica
| Professional | $78.66 | $92.97 | $360.35 | |
United
| Professional | $64.98 | $86.97 | $105.20 |