| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $38.56 | $43.51 | $53.61 | |
BCBS
| Professional | $33.36 | $33.36 | $33.36 | |
Cigna
| Professional | $24.93 | $24.93 | $24.93 | |
Medica
| Facility | $38.56 | $45.12 | $85.32 | |
Medica
| Professional | $17.28 | $25.91 | $332.40 | |
United
| Professional | $17.28 | $25.91 | $32.79 |