| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $23.79 | $32.90 | $35.75 | |
BCBS
| Professional | $38.25 | $38.25 | $38.25 | |
Cigna
| Professional | $19.59 | $19.59 | $19.59 | |
Medica
| Facility | $29.46 | $32.90 | $50.23 | |
Medica
| Professional | $13.58 | $20.89 | $44.22 | |
United
| Professional | $13.58 | $19.70 | $29.22 |