| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $19.05 | $28.84 | $43.65 | |
BCBS
| Professional | $47.86 | $89.13 | $125.89 | |
BCBS
| Professional | CQ | $38.90 | $38.90 | $38.90 |
Cigna
| Professional | $35.48 | $44.67 | $69.18 | |
Health Partners
| Professional | $35.48 | $35.48 | $56.23 | |
Medica
| Professional | $28.18 | $38.90 | $117.49 | |
United
| Professional | $28.18 | $40.74 | $117.49 |