| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $50.72 | $65.94 | $82.52 | |
BCBS
| Professional | $101.20 | $119.06 | $119.06 | |
Cigna
| Professional | $81.36 | $130.84 | $163.55 | |
Medica
| Facility | $56.34 | $74.94 | $354.23 | |
Medica
| Professional | $67.80 | $82.15 | $118.62 | |
United
| Professional | $67.80 | $82.66 | $110.97 |