| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $51.74 | $57.21 | $66.33 | |
BCBS
| Professional | $33.39 | $33.39 | $33.39 | |
Cigna
| Professional | $33.45 | $33.45 | $33.45 | |
Medica
| Facility | $51.74 | $58.37 | $90.00 | |
Medica
| Professional | $23.18 | $34.76 | $462.69 | |
United
| Professional | $23.18 | $34.76 | $44.51 |