| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $90.14 | $94.62 | $116.83 | |
BCBS
| Professional | $55.00 | $55.00 | $55.00 | |
Cigna
| Professional | $58.28 | $58.28 | $58.28 | |
Medica
| Facility | $91.13 | $102.81 | $146.88 | |
Medica
| Professional | $40.82 | $61.24 | $747.84 | |
United
| Professional | $40.38 | $60.57 | $78.41 |