| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $75.75 | $86.29 | $97.11 | |
BCBS
| Professional | $53.40 | $53.40 | $53.40 | |
Cigna
| Professional | $48.97 | $48.97 | $48.97 | |
Medica
| Facility | $75.75 | $86.29 | $122.10 | |
Medica
| Professional | $33.93 | $50.90 | $794.30 | |
United
| Professional | $33.93 | $50.90 | $65.17 |