| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $63.27 | $69.05 | $81.36 | |
BCBS
| Professional | $53.40 | $53.40 | $53.40 | |
Cigna
| Professional | $41.03 | $41.03 | $41.03 | |
Medica
| Facility | $63.46 | $71.59 | $136.72 | |
Medica
| Professional | $28.43 | $42.65 | $466.39 | |
United
| Professional | $28.43 | $42.65 | $53.99 |