| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $20.29 | $24.23 | $134.71 | |
BCBS
| Professional | $16.14 | $25.82 | $29.04 | |
Cigna
| Professional | $14.22 | $14.22 | $14.22 | |
Medica
| Facility | $19.93 | $30.57 | $51.01 | |
Medica
| Professional | $11.36 | $11.89 | $142.29 | |
United
| Professional | $11.36 | $11.36 | $16.23 |