| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $30.94 | $30.94 | $30.94 | |
BCBS
| Professional | $46.94 | $59.60 | $59.90 | |
Cigna
| Professional | $27.75 | $27.75 | $34.69 | |
Medica
| Facility | $15.89 | $20.13 | $33.54 | |
Medica
| Professional | $15.89 | $45.43 | $187.28 | |
United
| Professional | $27.02 | $33.90 | $38.40 |