| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $16.98 | $33.88 | $41.69 | |
BCBS
| Professional | $38.02 | $38.02 | $38.02 | |
Cigna
| Professional | $19.50 | $19.50 | $19.50 | |
Medica
| Facility | $29.51 | $33.11 | $51.29 | |
Medica
| Professional | $13.49 | $20.89 | $48.98 | |
United
| Facility | $19.50 | $19.50 | $19.50 | |
United
| Professional | $13.49 | $20.42 | $29.51 |