| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $33.88 | $33.88 | $33.88 | |
BCBS
| Professional | $31.62 | $31.62 | $31.62 | |
Cigna
| Professional | $31.62 | $31.62 | $31.62 | |
Medica
| Facility | $41.69 | $69.18 | $77.62 | |
Medica
| Professional | $35.48 | $39.81 | $57.54 | |
United
| Facility | $33.88 | $34.67 | $38.02 | |
United
| Professional | $35.48 | $41.69 | $57.54 |