| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $38.02 | $77.62 | $87.10 | |
BCBS
| Professional | $93.33 | $93.33 | $93.33 | |
Cigna
| Professional | $44.67 | $44.67 | $44.67 | |
Medica
| Facility | $43.65 | $83.18 | $123.03 | |
Medica
| Professional | $42.66 | $45.71 | $616.60 | |
United
| Professional | $39.81 | $45.71 | $66.07 |