| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $23.99 | $69.18 | $114.82 | |
BCBS
| Professional | $47.86 | $47.86 | $151.36 | |
Cigna
| Professional | $33.11 | $72.44 | $158.49 | |
Medica
| Facility | $25.70 | $77.62 | $131.83 | |
Medica
| Professional | $70.79 | $100.00 | $645.65 | |
United
| Professional | $28.18 | $46.77 | $104.71 |