| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $34.42 | $41.61 | $49.59 | |
BCBS
| Professional | $52.46 | $61.72 | $61.72 | |
Cigna
| Professional | $37.79 | $47.63 | $59.53 | |
Medica
| Facility | $14.56 | $41.61 | $218.97 | |
Medica
| Professional | $36.79 | $49.80 | $67.00 | |
United
| Professional | $39.56 | $49.80 | $64.20 |