| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $37.99 | $46.14 | $53.25 | |
BCBS
| Professional | $53.65 | $53.65 | $53.65 | |
Cigna
| Professional | $28.56 | $28.56 | $28.56 | |
Medica
| Facility | $41.31 | $46.14 | $70.45 | |
Medica
| Professional | $19.79 | $29.69 | $62.03 | |
United
| Professional | $19.79 | $27.63 | $42.59 |