| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $20.29 | $20.29 | $134.71 | |
BCBS
| Professional | $27.04 | $27.04 | $27.04 | |
Cigna
| Professional | $14.22 | $14.22 | $14.22 | |
Medica
| Facility | $22.18 | $27.60 | $36.39 | |
Medica
| Professional | $11.90 | $16.23 | $142.29 | |
United
| Professional | $11.81 | $16.23 | $44.63 |