| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $49.50 | $64.34 | $85.27 | |
BCBS
| Professional | $104.74 | $123.22 | $123.22 | |
Cigna
| Professional | $85.62 | $127.44 | $159.30 | |
Medica
| Facility | $55.62 | $72.84 | $346.65 | |
Medica
| Professional | $72.70 | $85.60 | $116.95 | |
United
| Facility | $86.74 | $86.74 | $86.74 | |
United
| Professional | $73.44 | $86.10 | $110.04 |