| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $57.23 | $66.42 | $73.37 | |
BCBS
| Professional | $62.20 | $62.20 | $62.20 | |
Cigna
| Professional | $37.00 | $37.00 | $37.00 | |
Medica
| Facility | $57.23 | $66.42 | $124.17 | |
Medica
| Professional | $25.64 | $38.45 | $463.78 | |
United
| Professional | $25.64 | $38.45 | $49.24 |