| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $34.67 | $46.77 | $53.70 | |
BCBS
| Professional | $38.02 | $38.02 | $38.02 | |
Cigna
| Professional | $25.12 | $25.12 | $25.12 | |
Medica
| Facility | $38.90 | $43.65 | $61.66 | |
Medica
| Professional | $17.38 | $25.70 | $331.13 | |
United
| Professional | $17.38 | $25.12 | $34.67 |