| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $36.78 | $41.49 | $54.37 | |
BCBS
| Professional | $33.36 | $33.36 | $33.36 | |
Cigna
| Professional | $23.78 | $23.78 | $23.78 | |
Medica
| Facility | $36.78 | $43.03 | $80.48 | |
Medica
| Professional | $16.48 | $24.71 | $328.98 | |
United
| Professional | $16.48 | $24.71 | $31.65 |