| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $21.83 | $22.97 | $97.80 | |
BCBS
| Professional | $43.80 | $164.70 | $217.12 | |
Cigna
| Professional | $14.52 | $61.28 | $219.41 | |
Medica
| Facility | $21.83 | $71.01 | $218.54 | |
Medica
| Professional | $71.17 | $122.10 | $553.58 | |
United
| Professional | $68.97 | $103.45 | $158.25 |