| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $21.83 | $22.97 | $92.86 | |
BCBS
| Professional | $43.80 | $156.34 | $206.10 | |
Cigna
| Professional | $14.52 | $58.22 | $208.44 | |
Medica
| Facility | $21.83 | $64.44 | $141.21 | |
Medica
| Professional | $68.09 | $119.49 | $527.54 | |
United
| Professional | $67.20 | $98.10 | $151.43 |