| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $51.30 | $57.75 | $66.79 | |
BCBS
| Professional | $53.40 | $53.40 | $53.40 | |
Cigna
| Professional | $33.68 | $33.68 | $33.68 | |
Medica
| Facility | $52.10 | $58.78 | $110.86 | |
Medica
| Professional | $23.34 | $35.01 | $444.72 | |
United
| Professional | $23.34 | $33.90 | $44.82 |