| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $33.88 | $33.88 | $33.88 | |
BCBS
| Professional | $18.20 | $18.20 | $23.44 | |
Cigna
| Professional | $31.62 | $31.62 | $31.62 | |
Medica
| Facility | $16.22 | $77.62 | $213.80 | |
Medica
| Professional | $30.90 | $36.31 | $48.98 | |
United
| Facility | $15.85 | $53.70 | $93.33 | |
United
| Professional | $30.90 | $36.31 | $48.98 |