| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $26.95 | $69.31 | $95.12 | |
BCBS
| Professional | $31.15 | $58.73 | $130.24 | |
Cigna
| Professional | $29.54 | $66.77 | $122.91 | |
Medica
| Facility | $27.73 | $69.31 | $107.60 | |
Medica
| Professional | $75.41 | $89.65 | $371.85 | |
United
| Professional | $31.90 | $84.67 | $104.59 |