| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $33.35 | $48.45 | $75.01 | |
BCBS
| Professional | $40.60 | $61.95 | $86.28 | |
Cigna
| Professional | $57.14 | $57.14 | $57.14 | |
Medica
| Facility | $43.04 | $64.26 | $100.85 | |
Medica
| Professional | $55.77 | $74.52 | $411.10 | |
United
| Professional | $47.24 | $67.48 | $90.67 |