| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $46.78 | $56.59 | $66.58 | |
BCBS
| Professional | $53.40 | $53.40 | $53.40 | |
Cigna
| Professional | $32.19 | $32.19 | $32.19 | |
Medica
| Facility | $51.93 | $58.59 | $101.11 | |
Medica
| Professional | $23.26 | $34.90 | $426.48 | |
United
| Professional | $22.30 | $33.72 | $46.73 |