| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $19.42 | $39.38 | $47.49 | |
BCBS
| Professional | $33.36 | $33.36 | $33.36 | |
Cigna
| Professional | $22.57 | $22.57 | $22.57 | |
Medica
| Facility | $34.90 | $40.84 | $83.80 | |
Medica
| Professional | $15.64 | $23.46 | $312.20 | |
United
| Professional | $15.64 | $23.46 | $30.03 |