| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $15.01 | $23.13 | $30.48 | |
BCBS
| Professional | $23.10 | $31.06 | $35.08 | |
Cigna
| Professional | $29.16 | $29.16 | $39.96 | |
Medica
| Facility | $21.47 | $28.57 | $37.03 | |
Medica
| Professional | $21.67 | $43.54 | $167.08 | |
United
| Professional | $22.17 | $28.93 | $53.53 |