| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $47.86 | $56.23 | $70.79 | |
BCBS
| Professional | $58.88 | $77.62 | $104.71 | |
Cigna
| Professional | $56.23 | $56.23 | $64.57 | |
Medica
| Facility | $50.12 | $58.88 | $112.20 | |
Medica
| Professional | $56.23 | $79.43 | $407.38 | |
United
| Facility | $57.54 | $61.66 | $69.18 | |
United
| Professional | $51.29 | $66.07 | $93.33 |