| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $41.12 | $53.84 | $56.83 | |
BCBS
| Professional | $62.20 | $62.20 | $62.20 | |
Cigna
| Professional | $31.15 | $31.15 | $31.15 | |
Medica
| Facility | $47.89 | $53.49 | $81.67 | |
Medica
| Professional | $21.58 | $33.86 | $71.90 | |
United
| Professional | $21.58 | $27.77 | $46.45 |