| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $49.62 | $60.96 | $73.48 | |
BCBS
| Professional | $33.36 | $33.36 | $33.36 | |
Cigna
| Professional | $32.08 | $32.08 | $32.08 | |
Medica
| Facility | $49.62 | $58.06 | $90.00 | |
Medica
| Professional | $22.23 | $33.34 | $441.05 | |
United
| Professional | $22.23 | $33.34 | $44.65 |