| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $58.63 | $75.68 | $88.71 | |
BCBS
| Professional | $88.00 | $88.00 | $88.00 | |
Cigna
| Professional | $48.24 | $48.24 | $48.24 | |
Medica
| Facility | $67.76 | $75.68 | $115.56 | |
Medica
| Professional | $33.43 | $50.14 | $101.74 | |
United
| Professional | $33.43 | $45.32 | $71.93 |