| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $32.29 | $45.32 | $63.56 | |
BCBS
| Facility | $50.07 | $58.90 | $58.90 | |
BCBS
| Professional | $0.08 | $0.10 | $0.10 | |
Cigna
| Professional | $49.99 | $49.99 | $81.51 | |
Medica
| Facility | $32.29 | $45.64 | $65.61 | |
Medica
| Professional | $68.28 | $111.61 | $383.21 | |
United
| Professional | $65.14 | $81.33 | $111.61 |