| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $18.61 | $56.17 | $91.52 | |
BCBS
| Facility | $22.26 | $22.26 | $24.49 | |
BCBS
| Professional | $16.70 | $31.15 | $77.98 | |
Cigna
| Professional | $19.10 | $52.53 | $104.11 | |
Medica
| Facility | $19.88 | $49.19 | $96.90 | |
Medica
| Professional | $53.64 | $71.75 | $527.54 | |
United
| Professional | $52.15 | $68.09 | $103.71 |