| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $16.17 | $56.17 | $76.55 | |
BCBS
| Professional | $32.15 | $32.15 | $122.61 | |
Cigna
| Professional | $22.20 | $62.00 | $122.53 | |
Medica
| Facility | $17.30 | $58.59 | $99.96 | |
Medica
| Professional | $59.50 | $80.61 | $527.54 | |
United
| Professional | $60.09 | $80.61 | $98.13 |