| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $28.18 | $57.54 | $69.18 | |
BCBS
| Professional | $61.66 | $61.66 | $61.66 | |
Cigna
| Professional | $33.11 | $33.11 | $33.11 | |
Medica
| Facility | $46.77 | $53.70 | $83.18 | |
Medica
| Professional | $22.91 | $33.88 | $70.79 | |
United
| Facility | $31.62 | $31.62 | $31.62 | |
United
| Professional | $22.91 | $33.11 | $48.98 |