| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $17.82 | $56.17 | $76.95 | |
BCBS
| Professional | $20.65 | $38.93 | $104.77 | |
Cigna
| Professional | $19.59 | $45.48 | $98.32 | |
Medica
| Facility | $18.37 | $55.13 | $85.56 | |
Medica
| Professional | $57.87 | $71.52 | $301.08 | |
United
| Facility | $21.28 | $23.07 | $62.42 | |
United
| Professional | $56.62 | $71.48 | $88.13 |