| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $46.27 | $54.85 | $62.33 | |
BCBS
| Professional | $52.35 | $52.35 | $52.35 | |
Cigna
| Professional | $31.15 | $31.15 | $31.15 | |
Medica
| Facility | $48.62 | $54.85 | $100.01 | |
Medica
| Professional | $21.78 | $32.67 | $407.81 | |
United
| Professional | $21.58 | $31.65 | $41.84 |