| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $37.86 | $45.57 | $58.14 | |
BCBS
| Facility | $55.74 | $208.13 | $364.71 | |
BCBS
| Professional | $28.52 | $40.44 | $50.29 | |
Cigna
| Professional | $44.04 | $44.04 | $44.04 | |
Medica
| Facility | $37.86 | $46.00 | $85.14 | |
Medica
| Professional | $48.36 | $62.36 | $332.57 | |
United
| Professional | $48.36 | $56.98 | $110.88 |