| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $43.59 | $45.88 | $55.89 | |
BCBS
| Professional | $33.36 | $33.36 | $33.36 | |
Cigna
| Professional | $28.19 | $28.19 | $28.19 | |
Medica
| Facility | $43.59 | $49.18 | $90.00 | |
Medica
| Professional | $19.53 | $29.30 | $375.79 | |
United
| Professional | $19.53 | $28.38 | $37.51 |