| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $16.98 | $33.88 | $41.69 | |
BCBS
| Professional | $21.38 | $38.02 | $44.67 | |
Cigna
| Professional | $19.50 | $19.50 | $19.50 | |
Medica
| Facility | $18.62 | $35.48 | $57.54 | |
Medica
| Professional | $18.62 | $20.42 | $263.03 | |
United
| Professional | $18.62 | $20.42 | $30.90 |