| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $64.47 | $71.31 | $87.12 | |
BCBS
| Professional | $53.40 | $53.40 | $53.40 | |
Cigna
| Professional | $43.93 | $43.93 | $43.93 | |
Medica
| Facility | $67.95 | $76.67 | $139.33 | |
Medica
| Professional | $30.44 | $45.66 | $607.76 | |
United
| Professional | $30.44 | $45.66 | $57.80 |