| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $34.27 | $34.27 | $34.27 | |
BCBS
| Professional | $24.85 | $30.18 | $35.50 | |
Cigna
| Professional | $31.89 | $31.89 | $31.89 | |
Medica
| Facility | $41.33 | $68.61 | $77.18 | |
Medica
| Professional | $35.49 | $39.97 | $58.19 | |
United
| Professional | $35.49 | $39.90 | $60.38 |