| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $19.05 | $23.99 | $81.28 | |
BCBS
| Professional | $47.86 | $72.44 | $72.44 | |
Cigna
| Professional | $33.11 | $33.11 | $41.69 | |
Medica
| Facility | $17.78 | $22.39 | $30.20 | |
Medica
| Professional | $26.30 | $46.77 | $158.49 | |
United
| Professional | $13.49 | $39.81 | $48.98 |