| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $38.97 | $62.76 | $77.81 | |
BCBS
| Professional | $40.00 | $47.29 | $50.77 | |
Cigna
| Professional | $57.73 | $57.73 | $104.10 | |
Medica
| Facility | $52.28 | $76.48 | $102.72 | |
Medica
| Professional | $55.66 | $73.98 | $856.96 | |
United
| Professional | $57.38 | $72.38 | $95.81 |