| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $38.02 | $44.67 | $52.48 | |
BCBS
| Professional | $38.02 | $38.02 | $38.02 | |
Cigna
| Professional | $25.70 | $25.70 | $25.70 | |
Medica
| Facility | $39.81 | $44.67 | $64.57 | |
Medica
| Professional | $17.78 | $26.92 | $338.84 | |
United
| Professional | $17.78 | $25.70 | $34.67 |