| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $25.41 | $53.28 | $60.55 | |
BCBS
| Professional | $52.35 | $52.35 | $52.35 | |
Cigna
| Professional | $29.54 | $29.54 | $29.54 | |
Medica
| Facility | $47.23 | $53.52 | $94.36 | |
Medica
| Professional | $21.16 | $31.73 | $393.84 | |
United
| Professional | $20.47 | $30.70 | $40.63 |