| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $44.18 | $49.84 | $56.64 | |
BCBS
| Professional | $33.36 | $33.36 | $33.36 | |
Cigna
| Professional | $28.56 | $28.56 | $28.56 | |
Medica
| Facility | $44.18 | $49.84 | $90.00 | |
Medica
| Professional | $19.79 | $29.69 | $368.02 | |
United
| Professional | $19.79 | $29.07 | $39.76 |