| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $23.96 | $27.79 | $159.06 | |
BCBS
| Professional | $20.99 | $20.99 | $20.99 | |
Cigna
| Professional | $16.80 | $16.80 | $16.80 | |
Medica
| Facility | $23.24 | $30.98 | $41.52 | |
Medica
| Professional | $13.31 | $19.16 | $159.69 | |
United
| Professional | $12.74 | $19.16 | $47.91 |