| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $30.78 | $41.33 | $41.33 | |
BCBS
| Professional | $77.91 | $98.93 | $99.42 | |
Cigna
| Professional | $45.75 | $45.75 | $57.19 | |
Medica
| Facility | $25.61 | $30.78 | $41.33 | |
Medica
| Professional | $26.38 | $56.28 | $219.85 | |
United
| Professional | $44.85 | $56.28 | $63.76 |