| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $55.91 | $63.08 | $78.93 | |
BCBS
| Professional | $34.36 | $34.36 | $34.36 | |
Cigna
| Professional | $36.14 | $36.14 | $36.14 | |
Medica
| Facility | $55.91 | $65.41 | $90.79 | |
Medica
| Professional | $25.05 | $37.57 | $474.71 | |
United
| Professional | $25.05 | $37.57 | $48.10 |