| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $40.51 | $52.57 | $54.41 | |
BCBS
| Professional | $61.13 | $61.13 | $61.13 | |
Cigna
| Professional | $29.80 | $29.80 | $29.80 | |
Medica
| Facility | $47.06 | $52.57 | $80.25 | |
Medica
| Professional | $20.65 | $33.27 | $70.66 | |
United
| Professional | $20.65 | $28.39 | $44.43 |