| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $58.36 | $64.26 | $82.38 | |
BCBS
| Professional | $53.40 | $53.40 | $53.40 | |
Cigna
| Professional | $37.20 | $37.20 | $37.20 | |
Medica
| Facility | $61.96 | $72.48 | $126.89 | |
Medica
| Professional | $28.79 | $43.18 | $434.11 | |
United
| Professional | $25.78 | $39.93 | $55.30 |