| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $65.81 | $76.81 | $96.52 | |
BCBS
| Professional | $80.15 | $81.39 | $110.06 | |
Cigna
| Professional | $49.76 | $78.19 | $159.30 | |
Medica
| Facility | $55.62 | $83.91 | $346.65 | |
Medica
| Professional | $64.15 | $76.00 | $97.99 | |
United
| Professional | $64.15 | $76.00 | $94.10 |