| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $15.43 | $15.64 | $23.09 | |
BCBS
| Professional | $28.55 | $32.59 | $54.51 | |
Cigna
| Professional | $22.32 | $22.32 | $35.72 | |
Medica
| Facility | $16.20 | $29.02 | $38.56 | |
Medica
| Professional | $15.81 | $27.84 | $247.34 | |
United
| Professional | $15.81 | $19.46 | $43.79 |