| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $18.94 | $25.43 | $25.43 | |
BCBS
| Professional | $47.93 | $55.07 | $61.16 | |
Cigna
| Professional | $28.50 | $28.50 | $35.63 | |
Medica
| Facility | $16.23 | $20.56 | $25.43 | |
Medica
| Professional | $16.23 | $34.74 | $142.29 | |
United
| Professional | $11.36 | $34.61 | $39.22 |