| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $21.88 | $46.77 | $54.95 | |
BCBS
| Professional | $57.54 | $57.54 | $57.54 | |
Cigna
| Professional | $25.12 | $25.12 | $25.12 | |
Medica
| Facility | $43.65 | $48.98 | $75.86 | |
Medica
| Professional | $17.38 | $30.90 | $66.07 | |
United
| Facility | $29.51 | $29.51 | $29.51 | |
United
| Professional | $17.38 | $25.70 | $37.15 |