| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $21.69 | $24.66 | $29.79 | |
BCBS
| Professional | $56.77 | $60.82 | $63.61 | |
Cigna
| Professional | $28.13 | $28.13 | $35.15 | |
Medica
| Facility | $13.73 | $17.68 | $25.47 | |
Medica
| Professional | $31.62 | $57.62 | $247.34 | |
United
| Professional | $26.88 | $31.62 | $57.62 |