| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $30.54 | $44.19 | $67.94 | |
BCBS
| Professional | $37.10 | $50.94 | $82.15 | |
Cigna
| Professional | $49.99 | $49.99 | $90.44 | |
Medica
| Facility | $34.81 | $50.12 | $73.98 | |
Medica
| Professional | $54.86 | $93.11 | $383.21 | |
United
| Professional | $54.86 | $72.20 | $100.71 |