| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $18.67 | $37.86 | $43.03 | |
BCBS
| Professional | $33.36 | $33.36 | $33.36 | |
Cigna
| Professional | $21.70 | $21.70 | $21.70 | |
Medica
| Facility | $33.56 | $38.90 | $72.69 | |
Medica
| Professional | $15.04 | $22.55 | $289.33 | |
United
| Professional | $15.04 | $21.83 | $28.87 |