| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $19.19 | $21.58 | $25.23 | |
BCBS
| Professional | $20.30 | $27.29 | $31.33 | |
Cigna
| Professional | $22.32 | $22.32 | $35.72 | |
Medica
| Facility | $21.12 | $29.19 | $37.44 | |
Medica
| Professional | $15.81 | $28.99 | $247.34 | |
United
| Professional | $14.78 | $26.35 | $51.90 |