| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $40.54 | $45.75 | $51.99 | |
BCBS
| Professional | $33.36 | $33.36 | $33.36 | |
Cigna
| Professional | $26.22 | $26.22 | $26.22 | |
Medica
| Facility | $40.54 | $45.75 | $90.00 | |
Medica
| Professional | $18.17 | $27.25 | $347.90 | |
United
| Professional | $18.17 | $27.25 | $34.89 |