| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $18.18 | $21.40 | $159.06 | |
BCBS
| Professional | $19.05 | $30.48 | $34.29 | |
Cigna
| Professional | $16.80 | $16.80 | $16.80 | |
Medica
| Facility | $21.40 | $31.94 | $47.91 | |
Medica
| Professional | $8.92 | $13.41 | $159.69 | |
United
| Professional | $8.92 | $13.41 | $19.16 |