| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $37.15 | $43.65 | $57.54 | |
BCBS
| Professional | $70.79 | $102.33 | $141.25 | |
Cigna
| Professional | $53.70 | $63.10 | $67.61 | |
Health Partners
| Professional | $53.70 | $53.70 | $72.44 | |
Medica
| Professional | $54.95 | $107.15 | $204.17 | |
United
| Professional | $60.26 | $102.33 | $177.83 |