| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $30.30 | $34.04 | $38.85 | |
BCBS
| Professional | $32.71 | $32.71 | $32.71 | |
Cigna
| Professional | $19.59 | $19.59 | $19.59 | |
Medica
| Facility | $30.30 | $34.19 | $70.54 | |
Medica
| Professional | $13.58 | $20.36 | $261.22 | |
United
| Professional | $13.58 | $19.73 | $26.08 |