| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $19.30 | $22.02 | $24.18 | |
BCBS
| Professional | $36.90 | $47.10 | $54.91 | |
Cigna
| Professional | $15.47 | $40.28 | $62.95 | |
Medica
| Facility | $15.92 | $19.47 | $30.07 | |
Medica
| Professional | $19.64 | $42.03 | $139.44 | |
United
| Professional | $19.64 | $38.17 | $53.56 |