| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $22.91 | $44.67 | $52.48 | |
BCBS
| Professional | $52.48 | $52.48 | $52.48 | |
Cigna
| Professional | $26.30 | $26.30 | $26.30 | |
Medica
| Facility | $40.74 | $45.71 | $70.79 | |
Medica
| Professional | $18.20 | $28.84 | $61.66 | |
United
| Facility | $27.54 | $27.54 | $27.54 | |
United
| Professional | $18.20 | $27.54 | $38.90 |