| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $28.18 | $57.54 | $64.57 | |
BCBS
| Professional | $51.29 | $66.07 | $79.43 | |
Cigna
| Professional | $33.11 | $33.11 | $33.11 | |
Medica
| Facility | $33.88 | $60.26 | $104.71 | |
Medica
| Professional | $31.62 | $33.88 | $416.87 | |
United
| Professional | $30.90 | $33.88 | $51.29 |