| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $19.37 | $23.33 | $29.39 | |
BCBS
| Professional | $25.05 | $30.41 | $39.63 | |
Cigna
| Professional | $29.16 | $29.16 | $43.67 | |
Medica
| Facility | $21.45 | $25.93 | $36.08 | |
Medica
| Professional | $29.63 | $53.99 | $167.08 | |
United
| Professional | $26.65 | $34.72 | $53.99 |