| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $68.55 | $77.34 | $100.03 | |
BCBS
| Professional | $63.44 | $63.44 | $63.44 | |
Cigna
| Professional | $44.32 | $44.32 | $44.32 | |
Medica
| Facility | $68.55 | $80.20 | $158.18 | |
Medica
| Professional | $30.71 | $46.07 | $601.62 | |
United
| Professional | $30.71 | $46.07 | $58.88 |