| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $19.05 | $38.90 | $50.12 | |
BCBS
| Professional | $22.39 | $39.81 | $46.77 | |
Cigna
| Professional | $22.39 | $22.39 | $22.39 | |
Medica
| Facility | $21.38 | $40.74 | $60.26 | |
Medica
| Professional | $21.88 | $23.44 | $309.03 | |
United
| Professional | $21.38 | $23.44 | $35.48 |