| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $57.40 | $65.59 | $76.38 | |
BCBS
| Professional | $62.20 | $62.20 | $62.20 | |
Cigna
| Professional | $37.59 | $37.59 | $37.59 | |
Medica
| Facility | $58.15 | $68.04 | $128.96 | |
Medica
| Professional | $26.05 | $39.07 | $485.71 | |
United
| Professional | $26.05 | $39.07 | $50.03 |