| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $17.62 | $26.49 | $131.91 | |
BCBS
| Professional | $15.80 | $25.28 | $28.44 | |
Cigna
| Professional | $13.93 | $13.93 | $13.93 | |
Medica
| Facility | $19.53 | $31.79 | $52.98 | |
Medica
| Professional | $11.13 | $15.54 | $187.28 | |
United
| Professional | $11.13 | $11.92 | $15.93 |