| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $21.88 | $44.67 | $54.95 | |
BCBS
| Professional | $25.12 | $47.86 | $63.10 | |
Cigna
| Professional | $25.70 | $25.70 | $25.70 | |
Medica
| Facility | $25.70 | $47.86 | $74.13 | |
Medica
| Professional | $24.55 | $26.92 | $338.84 | |
United
| Professional | $23.99 | $26.92 | $40.74 |