| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $33.79 | $47.10 | $49.80 | |
BCBS
| Professional | $55.96 | $55.96 | $55.96 | |
Cigna
| Professional | $25.82 | $25.82 | $25.82 | |
Medica
| Facility | $43.08 | $48.13 | $73.48 | |
Medica
| Professional | $17.89 | $30.46 | $64.69 | |
United
| Professional | $17.89 | $24.91 | $38.50 |