| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $26.92 | $50.12 | $61.66 | |
BCBS
| Professional | $36.31 | $60.26 | $72.44 | |
Cigna
| Professional | $29.51 | $29.51 | $29.51 | |
Medica
| Facility | $28.18 | $56.23 | $87.10 | |
Medica
| Professional | $28.84 | $30.90 | $398.11 | |
United
| Professional | $28.18 | $30.90 | $46.77 |