| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $47.50 | $47.50 | $47.50 | |
BCBS
| Facility | $0.87 | $1.01 | $1.19 | |
Cigna
| Professional | $29.52 | $29.52 | $29.52 | |
Medica
| Facility | $47.50 | $73.30 | $150.50 | |
Medica
| Professional | $51.75 | $65.00 | $97.75 | |
United
| Professional | $51.50 | $67.50 | $101.50 |