| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $47.86 | $57.54 | $64.57 | |
BCBS
| Professional | $58.88 | $58.88 | $58.88 | |
Cigna
| Professional | $33.11 | $33.11 | $33.11 | |
Medica
| Facility | $51.29 | $54.95 | $81.28 | |
Medica
| Professional | $22.91 | $33.88 | $416.87 | |
United
| Professional | $22.91 | $33.11 | $43.65 |