| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $67.45 | $76.11 | $99.72 | |
BCBS
| Professional | $35.03 | $35.03 | $35.03 | |
Cigna
| Professional | $43.62 | $43.62 | $43.62 | |
Medica
| Facility | $67.45 | $76.11 | $114.72 | |
Medica
| Professional | $30.22 | $45.34 | $710.69 | |
United
| Professional | $30.22 | $45.34 | $57.39 |