| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $21.88 | $45.71 | $54.95 | |
BCBS
| Professional | $56.23 | $56.23 | $56.23 | |
Cigna
| Professional | $25.70 | $25.70 | $25.70 | |
Medica
| Facility | $42.66 | $47.86 | $74.13 | |
Medica
| Professional | $17.78 | $30.20 | $64.57 | |
United
| Facility | $28.84 | $28.84 | $28.84 | |
United
| Professional | $17.78 | $26.92 | $38.90 |