| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $57.99 | $66.11 | $75.12 | |
BCBS
| Professional | $53.40 | $53.40 | $53.40 | |
Cigna
| Professional | $37.88 | $37.88 | $37.88 | |
Medica
| Facility | $58.59 | $66.11 | $125.33 | |
Medica
| Professional | $26.25 | $39.36 | $509.35 | |
United
| Professional | $26.25 | $38.14 | $50.41 |