| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $15.85 | $57.54 | $95.50 | |
BCBS
| Professional | $31.62 | $31.62 | $125.89 | |
Cigna
| Professional | $20.89 | $45.71 | $128.82 | |
Medica
| Facility | $16.98 | $63.10 | $104.71 | |
Medica
| Professional | $60.26 | $83.18 | $549.54 | |
United
| Professional | $18.62 | $35.48 | $87.10 |