| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $67.79 | $76.23 | $88.01 | |
BCBS
| Professional | $53.40 | $53.40 | $53.40 | |
Cigna
| Professional | $44.38 | $44.38 | $44.38 | |
Medica
| Facility | $68.65 | $77.45 | $146.47 | |
Medica
| Professional | $30.75 | $46.13 | $613.92 | |
United
| Professional | $30.75 | $44.59 | $58.39 |