| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $25.55 | $32.97 | $218.97 | |
BCBS
| Professional | $26.23 | $41.97 | $47.21 | |
Cigna
| Professional | $23.12 | $23.12 | $23.12 | |
Medica
| Facility | $29.46 | $43.97 | $65.95 | |
Medica
| Professional | $12.54 | $18.47 | $219.85 | |
United
| Professional | $12.54 | $18.47 | $26.38 |