| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $55.66 | $68.92 | $80.72 | |
BCBS
| Professional | $80.14 | $80.14 | $80.14 | |
Cigna
| Professional | $43.93 | $43.93 | $43.93 | |
Medica
| Facility | $61.71 | $68.92 | $105.25 | |
Medica
| Professional | $30.44 | $45.66 | $92.66 | |
United
| Professional | $30.44 | $38.04 | $65.51 |