| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $45.44 | $51.88 | $58.26 | |
BCBS
| Professional | $33.36 | $33.36 | $33.36 | |
Cigna
| Professional | $29.38 | $29.38 | $29.38 | |
Medica
| Facility | $45.44 | $51.88 | $90.00 | |
Medica
| Professional | $20.36 | $30.54 | $391.78 | |
United
| Professional | $20.36 | $29.59 | $39.10 |