| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $20.28 | $30.33 | $40.36 | |
BCBS
| Professional | $31.85 | $42.82 | $47.58 | |
Cigna
| Professional | $30.95 | $30.95 | $54.16 | |
Medica
| Facility | $26.77 | $38.08 | $50.92 | |
Medica
| Professional | $29.45 | $38.40 | $399.91 | |
United
| Professional | $29.45 | $36.96 | $51.17 |